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General NPI Number Information
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NPI Number | 1518056233
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Entity Type | Organization
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Legal Business Name | CHERRY TREE HEALTH CARE CORPORATION
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 04/29/2008
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Provider Practice Location Address
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Address Line | 410 TERRACE DR
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City | UNIONTOWN
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State | PA
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Zip | 15401-8991
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Country | US
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Telephone | 724-438-6000
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Fax | 724-438-6073
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Provider Business Mailing Address
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Address Line | 20 HIGHLAND PARK DR C/O MEDSERV MANAGEMENT INC
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City | UNIONTOWN
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State | PA
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Zip | 15401-8922
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Country | US
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Telephone | 724-439-4531
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Fax | 724-438-0953
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Authorized Official
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Title or Position | PRESIDENT
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Name | KISHOR E JOSHI
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Credential | M.D.
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Telephone | 724-439-4531
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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 | 058102
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License Number State | PA
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