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General NPI Number Information
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NPI Number | 1902303316
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Entity Type | Organization
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Legal Business Name | RVP PROPERTIES, INC.
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Dates
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Enumeration Date | 04/11/2018
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Last Update Date | 04/06/2023
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Provider Practice Location Address
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Address Line | 1687 N AIRPORT RD
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City | FREMONT
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State | NE
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Zip | 68025-2901
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Country | US
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Telephone | 402-753-1401
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Fax | 402-753-1402
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Provider Business Mailing Address
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Address Line | 1687 N AIRPORT RD
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City | FREMONT
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State | NE
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Zip | 68025-2901
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Country | US
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Telephone | 402-753-1401
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Fax | 402-753-1402
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Authorized Official
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Title or Position | CEO
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Name | RUSSELL PETERSON JR.
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Credential |
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Telephone | 402-753-1400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HHA201710
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License Number State | NE
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