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General NPI Number Information
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NPI Number | 1669956025
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Entity Type | Organization
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Legal Business Name | RIVER VALLEY ORTHOPEDICS, P.C.
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Dates
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Enumeration Date | 09/21/2018
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Last Update Date | 03/14/2019
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Provider Practice Location Address
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Address Line | 350 LAFAYETTE AVE SE FL 4
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City | GRAND RAPIDS
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State | MI
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Zip | 49503-4656
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Country | US
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Telephone | 616-456-8515
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Fax | 616-456-8208
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Provider Business Mailing Address
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Address Line | 1111 LEFFINGWELL AVE NE
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City | GRAND RAPIDS
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State | MI
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Zip | 49525-6406
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Country | US
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Telephone | 616-459-7101
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Fax |
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Authorized Official
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Title or Position | REVENUE CYCLE DIRECTOR
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Name | JOEL YOUNG
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Credential |
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Telephone | 616-459-7101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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