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NPI 1609434943

NPI 1609434943 : CHERISHED CARE : NESCONSET, NY

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General NPI Number Information
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    NPI Number           |    1609434943
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    Entity Type          |    Organization 
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    Legal Business Name  |    CHERISHED CARE 
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Dates
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    Enumeration Date     |    06/02/2019
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    Last Update Date     |    06/02/2019
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Provider Practice Location Address
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    Address Line         |    9 GAYNOR AVE 
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    City                 |    NESCONSET
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    State                |    NY
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    Zip                  |    11767-1807
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    Country              |    US
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    Telephone            |    631-205-4512
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9 GAYNOR AVE 
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    City                 |    NESCONSET
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    State                |    NY
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    Zip                  |    11767-1807
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    Country              |    US
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    Telephone            |    631-205-4512
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    Fax                  |    
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Authorized Official
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    Title or Position    |    NURSE/OWNER
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    Name                 |     TIMOTHY J CUTIGNOLA 
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    Credential           |    LPN
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    Telephone            |    631-205-4512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174200000X
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    Taxonomy Name        |    Meals Provider
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    251300000X
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    Taxonomy Name        |    Local Education Agency (LEA)
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    251C00000X
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    Taxonomy Name        |    Developmentally Disabled Services Day Training Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    251F00000X
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    Taxonomy Name        |    Home Infusion Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    251J00000X
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    Taxonomy Name        |    Nursing Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    252Y00000X
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    Taxonomy Name        |    Early Intervention Provider Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #10
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    Taxonomy Code        |    335G00000X
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    Taxonomy Name        |    Medical Foods Supplier
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    License Number       |    
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    License Number State |    
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Taxonomy #11
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    Taxonomy Code        |    343800000X
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    Taxonomy Name        |    Secured Medical Transport (VAN)
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    License Number       |    
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    License Number State |    
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Taxonomy #12
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    Taxonomy Code        |    343900000X
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    Taxonomy Name        |    Non-emergency Medical Transport (VAN)
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    License Number       |    
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    License Number State |    
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Taxonomy #13
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    Taxonomy Code        |    344600000X
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    Taxonomy Name        |    Taxi
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    License Number       |    
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    License Number State |    
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Taxonomy #14
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    Taxonomy Code        |    347C00000X
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    Taxonomy Name        |    Private Vehicle
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    License Number       |    
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    License Number State |    
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Taxonomy #15
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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