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General NPI Number Information
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NPI Number | 1386309185
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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 | 11/05/2021
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Last Update Date | 11/05/2021
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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 | OWNER
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Name | PAMELA JONES
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Credential |
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Telephone | 606-723-0695
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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