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General NPI Number Information
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NPI Number | 1497689616
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Entity Type | Organization
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Legal Business Name | PARKVIEW GROUP HOME
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 9901 NEWTON AVE S
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City | BLOOMINGTON
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State | MN
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Zip | 55431-2911
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Country | US
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Telephone | 651-329-4662
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Fax | 612-241-3395
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Provider Business Mailing Address
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Address Line | 9901 NEWTON AVE S
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City | BLOOMINGTON
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State | MN
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Zip | 55431-2911
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Country | US
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Telephone | 651-329-4662
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Fax |
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Authorized Official
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Title or Position | RN
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Name | KYRIAN AHAMEFULE NWOSU
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Credential | RN
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Telephone | 651-432-7226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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