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General NPI Number Information
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NPI Number | 1730692773
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Entity Type | Organization
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Legal Business Name | RIVER VISTA HEALTH AND WELLNESS LLC
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Dates
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Enumeration Date | 11/13/2017
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 1599 ALUM CREEK DRIVE
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City | COLUMBUS
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State | OH
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Zip | 43209
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Country | US
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Telephone | 614-715-3933
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Fax |
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Provider Business Mailing Address
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Address Line | 10123 ALLIANCE RD
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City | BLUE ASH
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State | OH
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Zip | 45242-4887
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Country | US
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Telephone | 513-530-1808
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | YITZCHAK ROSEDALE
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Credential |
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Telephone | 513-530-1808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number |
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License Number State |
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