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General NPI Number Information
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NPI Number | 1518969617
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Entity Type | Organization
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Legal Business Name | MARYVIEW HOSPITAL, LLC
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Dates
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Enumeration Date | 06/02/2005
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Last Update Date | 09/20/2023
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Provider Practice Location Address
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Address Line | 7007 HARBOUR VIEW BLVD STE 114
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City | SUFFOLK
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State | VA
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Zip | 23435-3657
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Country | US
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Telephone | 757-889-4663
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Fax | 757-393-4762
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Provider Business Mailing Address
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Address Line | PO BOX 639898
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City | CINCINNATI
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State | OH
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Zip | 45263-9898
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Country | US
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Telephone | 513-952-5002
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Fax |
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Authorized Official
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Title or Position | VP REIMBURSEMENT
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Name | KIMBERLY M RALSTON
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Credential |
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Telephone | 419-996-5119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | VA
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