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General NPI Number Information
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NPI Number | 1780820001
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Entity Type | Organization
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Legal Business Name | CHERRY VALLEY PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 12/17/2008
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Last Update Date | 12/18/2008
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Provider Practice Location Address
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Address Line | 75 NELSON ST TOWN & COUNTRY PLAZA
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City | CAZENOVIA
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State | NY
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Zip | 13035-1322
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Country | US
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Telephone | 315-815-4266
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Fax | 315-815-4267
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Provider Business Mailing Address
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Address Line | 3959 MOSLEY RD
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City | CAZENOVIA
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State | NY
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Zip | 13035-9498
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Country | US
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Telephone | 315-815-4266
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Fax | 315-815-4267
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | DR. PAMELA JEANNE MCFARLAND
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Credential | PT, SCD, COMT
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Telephone | 315-815-4266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 6716
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License Number State | NY
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