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General NPI Number Information
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NPI Number | 1861422644
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Entity Type | Organization
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Legal Business Name | MOUNTAIN VIEW NURSING HOME
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1776 ELLY RD
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City | ARODA
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State | VA
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Zip | 22709-1013
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Country | US
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Telephone | 540-948-6831
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Fax | 540-948-5402
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Provider Business Mailing Address
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Address Line | 1776 ELLY RD
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City | ARODA
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State | VA
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Zip | 22709-1013
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Country | US
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Telephone | 540-948-6831
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Fax | 540-948-5402
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. ELDON HOCHSTETLER
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Credential |
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Telephone | 540-948-6831
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | NH2635
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License Number State | VA
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