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General NPI Number Information
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NPI Number | 1811038250
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Entity Type | Organization
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Legal Business Name | RIVERVIEW MANOR INC.
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 07/18/2013
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Provider Practice Location Address
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Address Line | 200 S OHIO BOX 458
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City | OXFORD
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State | KS
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Zip | 67119-8080
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Country | US
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Telephone | 620-455-2214
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Fax | 620-455-2497
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Provider Business Mailing Address
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Address Line | 200 S OHIO BOX 458
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City | OXFORD
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State | KS
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Zip | 67119-8080
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Country | US
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Telephone | 620-455-2214
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Fax | 620-455-2497
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. TINA YVONNE MCKAIG
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Credential |
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Telephone | 620-455-2214
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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 | NO96005
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License Number State | KS
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