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General NPI Number Information
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NPI Number | 1831164995
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Entity Type | Organization
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Legal Business Name | RIVERVIEW HOSPITAL
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Dates
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Enumeration Date | 02/22/2006
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Last Update Date | 05/01/2018
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Provider Practice Location Address
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Address Line | 1380 E COUNTY LINE RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-0962
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Country | US
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Telephone | 317-885-7050
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Fax | 317-885-1022
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Provider Business Mailing Address
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Address Line | 3249 E COVENANTER DR
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City | BLOOMINGTON
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State | IN
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Zip | 47401-5479
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Country | US
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Telephone | 812-332-2265
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Fax | 823-334-0853
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Authorized Official
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Title or Position | CFO
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Name | BRANT BUCCIARELLI
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Credential |
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Telephone | 317-773-0760
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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 | 050002201
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License Number State | IN
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