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General NPI Number Information
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NPI Number | 1033107511
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Entity Type | Organization
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Legal Business Name | GARDEN VIEW CARE CENTER OF CHESTERFIELD, INC.
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Dates
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Enumeration Date | 10/10/2005
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Last Update Date | 11/13/2009
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Provider Practice Location Address
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Address Line | 1025 CHESTERFIELD POINTE PKWY
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City | CHESTERFIELD
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State | MO
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Zip | 63017-1957
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Country | US
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Telephone | 636-537-3333
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Fax | 636-537-8776
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Provider Business Mailing Address
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Address Line | 1025 CHESTERFIELD POINTE PKWY
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City | CHESTERFIELD
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State | MO
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Zip | 63017-1957
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Country | US
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Telephone | 636-537-3333
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Fax | 636-537-8776
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Authorized Official
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Title or Position | ACCOUNTANT
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Name | ROBIN COSGROVE
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Credential |
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Telephone | 636-537-3333
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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 | 029973
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License Number State | MO
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