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General NPI Number Information
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NPI Number | 1417482647
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Entity Type | Organization
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Legal Business Name | BRIGHTVIEW ROCKVILLE TOWN CENTER, LLC
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Dates
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Enumeration Date | 04/25/2017
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Last Update Date | 01/03/2020
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Provider Practice Location Address
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Address Line | 285 N. WASHINGTON STREET
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City | ROCKVILLE
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State | MD
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Zip | 20850
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Country | US
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Telephone | 301-284-7214
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Fax | 240-314-7107
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Provider Business Mailing Address
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Address Line | 285 N. WASHINGTON STREET
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City | ROCKVILLE
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State | MD
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Zip | 20850
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Country | US
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Telephone | 301-284-7214
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Fax | 240-314-7107
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Authorized Official
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Title or Position | BRIGHTVIEW ROCKVILLE TOWN CENTER, L
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Name | DAVID GREYDANUS
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Credential |
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Telephone | 410-962-0595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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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 | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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