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NPI 1386185809

NPI 1386185809 : CEDARS LEASING CO., LLC : CHARLOTTESVILLE, VA

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General NPI Number Information
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    NPI Number           |    1386185809
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    Entity Type          |    Organization 
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    Legal Business Name  |    CEDARS LEASING CO., LLC 
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Dates
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    Enumeration Date     |    03/16/2017
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    Last Update Date     |    05/01/2025
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Provider Practice Location Address
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    Address Line         |    1242 CEDARS CT 
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    City                 |    CHARLOTTESVILLE
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    State                |    VA
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    Zip                  |    22903-4800
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    Country              |    US
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    Telephone            |    434-296-5611
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    Fax                  |    434-296-1171
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Provider Business Mailing Address
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    Address Line         |    10123 ALLIANCE RD 
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    City                 |    BLUE ASH
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    State                |    OH
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    Zip                  |    45242-4887
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    Country              |    US
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    Telephone            |    513-530-1808
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    Fax                  |    
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Authorized Official
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    Title or Position    |    SECRETARY / TREASURER
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    Name                 |     CHARLES  STOLTZ 
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    Credential           |    
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    Telephone            |    513-530-1808
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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       |    
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    License Number State |    
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