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General NPI Number Information
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NPI Number | 1881827673
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Entity Type | Organization
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Legal Business Name | GENESIS HEALTH CARE
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Dates
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Enumeration Date | 08/27/2009
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Last Update Date | 08/27/2009
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Provider Practice Location Address
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Address Line | 54 SHARP ST
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City | MILLVILLE
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State | NJ
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Zip | 08332-2444
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Country | US
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Telephone | 856-327-2700
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Fax |
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Provider Business Mailing Address
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Address Line | 54 SHARP ST
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City | MILLVILLE
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State | NJ
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Zip | 08332-2444
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Country | US
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Telephone | 856-327-2526
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Fax |
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Authorized Official
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Title or Position | REHAB MANAGER
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Name | MRS. DANA BAGNATI
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Credential | OTRL
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Telephone | 856-327-2520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 41YS00599200
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License Number State | NJ
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