ProviderBusinessMailingAddressFaxNumber = '6109257387'

NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1104819259				GENESIS ELDERCARE PHYSICIAN SERVICES LLC	PO BOX 62946	BALTIMORE	MD	212642946
1164415196				GENESIS ELDERCARE PHYSICIAN SERVICES LLC	PO BOX 62946	BALTIMORE	MD	212642946
1245579762				GENESIS ELDER CARE PHYSICIAN SERVICES LLC	PO BOX 62946	BALTIMORE	MD	212642946
1285653451				GENESIS ELDER CARE PHYSICIAN SERVICES LLC	PO BOX 42738	TOWSON	MD	212842738
1326148107				GENESIS ELDERCARE PHYSICIAN SERVICES LLC	PO BOX 42738	TOWSON	MD	212842738
1326283045				GENESIS ELDER CARE PHYSICIAN SERVICES LLC	PO BOX 42738	TOWSON	MD	212842738
1447510714				GENESIS ELDER CARE PHYSICIAN SERVICES LLC	PO BOX 42738	TOWSON	MD	212842738
1477576304				GENESIS ELDERCARE PHYSICIAN SERVICES LLC	PO BOX 62946	BALTIMORE	MD	212642946
1518901933				GENESIS ELDERCARE PHYSICIAN SERVICES LLC	PO BOX 62946	BALTIMORE	MD	212642946
1548615313				GENESIS ELDERCARE PHYSICIAN SERVICES LLC	PO BOX 62946	BALTIMORE	MD	212642946
1558868927				GPS PHYSICIAN GROUP OF CALIFORNIA PC	PO BOX 42738	TOWSON	MD	212842738
1588690135				GENESIS ELDERCARE PHYSICIAN SERVICES LLC	PO BOX 62946	BALTIMORE	MD	212642946
1609180926				GENESIS ELDERCARE PHYSICIAN SERVICES LLC	PO BOX 62946	BALTIMORE	MD	212642946
1699191452				GENESIS ELDERCARE PHYSICIAN SERVICES LLC	PO BOX 42738	TOWSON	MD	212842738
1801215041				GENESIS ELDERCARE PHYSICIAN SERVICES LLC	PO BOX 62946	BALTIMORE	MD	212642946
1881635183				GENESIS ELDERCARE PHYSICIAN SERVICES LLC	PO BOX 62946	BALTIMORE	MD	212642946
1649346925	TENNEY	SUETTA			PO BOX 42738	TOWSON	MD	212842738

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