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General NPI Number Information
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NPI Number | 1295706729
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Entity Type | Organization
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Legal Business Name | PRAIRIE VIEW INC
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Dates
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Enumeration Date | 02/01/2006
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Last Update Date | 06/30/2023
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Provider Practice Location Address
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Address Line | 1901 EAST FIRST ST
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City | NEWTON
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State | KS
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Zip | 67114-0467
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Country | US
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Telephone | 316-284-6400
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Fax | 316-284-6491
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Provider Business Mailing Address
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Address Line | 1901 EAST FIRST ST PO BOX 467
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City | NEWTON
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State | KS
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Zip | 67114-0467
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Country | US
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Telephone | 316-284-6400
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Fax | 316-284-6491
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MARCY JOHNSON
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Credential |
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Telephone | 316-284-6310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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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 | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number |
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License Number State |
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