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General NPI Number Information
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NPI Number | 1831636752
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Entity Type | Organization
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Legal Business Name | RIVER VIEW SURGERY CENTER, LLC
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Dates
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Enumeration Date | 01/30/2017
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Last Update Date | 08/28/2023
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Provider Practice Location Address
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Address Line | 1502 LOCUST ST N STE 100
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City | TWIN FALLS
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State | ID
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Zip | 83301-4163
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Country | US
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Telephone | 208-933-2540
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Fax | 208-933-2541
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Provider Business Mailing Address
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Address Line | 1502 LOCUST ST N
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City | TWIN FALLS
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State | ID
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Zip | 83301
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | KYLE RICHMAN
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Credential |
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Telephone | 208-933-2540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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