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General NPI Number Information
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NPI Number | 1710985841
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Entity Type | Organization
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Legal Business Name | RICHFIELD LIVING
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Dates
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Enumeration Date | 07/12/2005
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Last Update Date | 04/02/2021
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Provider Practice Location Address
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Address Line | 3615 W MAIN ST
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City | SALEM
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State | VA
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Zip | 24153-1961
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Country | US
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Telephone | 540-380-4500
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Fax | 540-380-3510
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Provider Business Mailing Address
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Address Line | 3719 KNOLLRIDGE RD
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City | SALEM
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State | VA
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Zip | 24153-1938
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Country | US
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Telephone | 540-380-5500
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Fax | 540-380-1583
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Authorized Official
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Title or Position | ACCOUNTS RECEIVABLE MANAGER
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Name | EDITH WOODFORD
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Credential |
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Telephone | 540-380-6557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | NH2661
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License Number State | VA
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