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General NPI Number Information
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NPI Number | 1477657955
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Entity Type | Organization
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Legal Business Name | CANTERBURY PLACE
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 09/10/2020
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Provider Practice Location Address
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Address Line | 310 FISK ST
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City | PITTSBURGH
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State | PA
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Zip | 15201-1708
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Country | US
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Telephone | 412-622-9000
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Fax | 412-622-9249
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Provider Business Mailing Address
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Address Line | 200 LOTHROP ST STE 10097
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City | PITTSBURGH
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State | PA
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Zip | 15213-2536
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Country | US
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Telephone | 412-864-3532
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Fax | 412-864-3554
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | WILLIAM ANTHONY NIGRO
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Credential | CPA
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Telephone | 412-864-3532
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 050702
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 050702
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License Number State | PA
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