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General NPI Number Information
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NPI Number | 1063462224
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Entity Type | Organization
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Legal Business Name | RIVER PARK HEALTH CARE LLC
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1306 KATIE ST
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City | NASHVILLE
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State | TN
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Zip | 37207-5318
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Country | US
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Telephone | 615-228-3494
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Fax | 615-228-0022
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Provider Business Mailing Address
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Address Line | 1306 KATIE ST
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City | NASHVILLE
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State | TN
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Zip | 37207-5318
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Country | US
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Telephone | 615-228-3494
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Fax | 615-228-0022
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MR. JOSEPH GARAFOLA
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Credential |
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Telephone | 615-207-7771
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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 | 0000000062
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License Number State | TN
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