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General NPI Number Information
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NPI Number | 1932519550
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Entity Type | Organization
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Legal Business Name | GENESIS HEALTHCARE PARTNERS, PC
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Dates
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Enumeration Date | 05/05/2014
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Last Update Date | 12/22/2023
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Provider Practice Location Address
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Address Line | 5522 SEPULVEDA BLVD
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City | SHERMAN OAKS
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State | CA
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Zip | 91411-3437
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Country | US
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Telephone | 818-990-5020
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Fax | 424-288-5220
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Provider Business Mailing Address
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Address Line | PO BOX 33865
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City | SAN DIEGO
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State | CA
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Zip | 92163-3865
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Country | US
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Telephone | 858-888-7700
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Fax | 858-221-5012
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Authorized Official
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Title or Position | CEO
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Name | EDWARD COHEN
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Credential | MD
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Telephone | 858-354-9766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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