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General NPI Number Information
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NPI Number | 1316199466
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Entity Type | Organization
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Legal Business Name | NRV NURSING CENTER
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Dates
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Enumeration Date | 10/21/2008
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Last Update Date | 10/21/2008
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Provider Practice Location Address
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Address Line | 1000 LITTON LN
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City | BLACKSBURG
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State | VA
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Zip | 24060-6399
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Country | US
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Telephone | 540-443-3447
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Fax | 540-961-0411
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Provider Business Mailing Address
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Address Line | 1000 LITTON LN
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City | BLACKSBURG
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State | VA
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Zip | 24060-6399
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Country | US
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Telephone | 540-443-3447
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Fax | 540-961-0411
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. KRISTI BLAKE
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Credential | LNHA
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Telephone | 540-443-3447
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 4960785
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License Number State | VA
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