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General NPI Number Information
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NPI Number | 1275104481
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Entity Type | Organization
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Legal Business Name | RIVERVIEW SERVICES, LLC
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Dates
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Enumeration Date | 07/08/2021
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Last Update Date | 09/24/2021
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Provider Practice Location Address
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Address Line | 417 RIVER DR
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City | IRVINE
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State | KY
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Zip | 40336-1272
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Country | US
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Telephone | 606-723-0695
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Fax | 606-723-0043
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Provider Business Mailing Address
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Address Line | 417 RIVER DR
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City | IRVINE
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State | KY
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Zip | 40336-1272
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Country | US
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Telephone | 606-723-0695
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Fax | 606-723-0043
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | PAMELA SUE JONES
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Credential | APRN
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Telephone | 606-643-6104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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