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General NPI Number Information
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NPI Number | 1124494612
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Entity Type | Organization
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Legal Business Name | CHERRYWOOD POINTE OF SAVAGE LLC
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Dates
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Enumeration Date | 08/19/2015
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Last Update Date | 08/19/2015
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Provider Practice Location Address
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Address Line | 5950 WEST 130TH LANE
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City | SAVAGE
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State | MN
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Zip | 55378-2681
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Country | US
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Telephone | 952-808-8725
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Fax |
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Provider Business Mailing Address
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Address Line | 5950 WEST 130TH LANE
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City | SAVAGE
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State | MN
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Zip | 55378
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Country | US
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Telephone | 952-808-8725
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Fax |
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Authorized Official
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Title or Position | REGIONAL DIRECTOR - ASSISTED LIVING
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Name | KAREN LASON
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Credential |
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Telephone | 952-425-8681
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 28789
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License Number State | MN
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