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General NPI Number Information
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NPI Number | 1659925030
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Entity Type | Organization
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Legal Business Name | FOUNTAINVIEW LIVING, LLC
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Dates
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Enumeration Date | 07/24/2019
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Last Update Date | 07/24/2019
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Provider Practice Location Address
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Address Line | 601 N ROSE HILL RD
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City | ROSE HILL
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State | KS
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Zip | 67133-9336
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Country | US
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Telephone | 316-776-2194
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Fax |
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Provider Business Mailing Address
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Address Line | 1213 HYLTON HEIGHTS RD STE 129
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City | MANHATTAN
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State | KS
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Zip | 66502-2812
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Country | US
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Telephone | 785-789-4750
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. WILLIAM MATTHEW NOVOTNY
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Credential |
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Telephone | 785-789-4750
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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 |
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License Number State |
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