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General NPI Number Information
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NPI Number | 1447217997
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Entity Type | Organization
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Legal Business Name | OCEAN VIEW NURSING & REHABILITATION CENTER LLC
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 12/08/2014
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Provider Practice Location Address
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Address Line | 2810 S ATLANTIC AVE
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City | NEW SMYRNA BEACH
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State | FL
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Zip | 32169-3446
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Country | US
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Telephone | 386-428-6424
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Fax | 386-428-0640
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Provider Business Mailing Address
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Address Line | 2810 S ATLANTIC AVE
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City | NEW SMYRNA BEACH
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State | FL
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Zip | 32169-3446
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Country | US
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Telephone | 386-428-6424
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Fax | 386-428-0640
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DAVID VINING
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Credential |
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Telephone | 386-428-6424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | SNF13860961
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License Number State | FL
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