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General NPI Number Information
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NPI Number | 1649497181
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Entity Type | Organization
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Legal Business Name | RIVERVIEW DEVELOPMENT CORPORATION
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1201 PARK ST
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City | BELLEVUE
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State | IA
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Zip | 52031-1911
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Country | US
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Telephone | 563-872-5521
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Fax | 563-872-5609
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Provider Business Mailing Address
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Address Line | 1201 PARK ST
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City | BELLEVUE
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State | IA
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Zip | 52031-1911
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Country | US
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Telephone | 563-872-5521
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Fax | 563-872-5609
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Authorized Official
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Title or Position | MANAGER
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Name | MR. DONALD L CHENSVOLD
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Credential |
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Telephone | 319-362-8916
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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 | 490158
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License Number State | IA
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