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General NPI Number Information
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NPI Number | 1316945868
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Entity Type | Organization
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Legal Business Name | REDSTONE PRESBYTERIAN SENIOR CARE
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Dates
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Enumeration Date | 07/08/2005
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Last Update Date | 01/25/2008
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Provider Practice Location Address
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Address Line | 6 GARDEN CENTER DR
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City | GREENSBURG
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State | PA
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Zip | 15601-1351
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Country | US
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Telephone | 724-832-8400
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Fax | 724-834-1724
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Provider Business Mailing Address
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Address Line | 6 GARDEN CENTER DR
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City | GREENSBURG
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State | PA
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Zip | 15601-1351
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Country | US
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Telephone | 724-832-8400
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Fax | 724-834-1724
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Authorized Official
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Title or Position | ASSISTANT VP QUALITY SERVICES
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Name | VICKI L LOUCKS
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Credential | RN/BSN/NHA
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Telephone | 724-832-8400
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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 | 073202
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License Number State | PA
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