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General NPI Number Information
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NPI Number | 1902880131
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Entity Type | Organization
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Legal Business Name | CHS - MIAMI VALLEY, INC
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Dates
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Enumeration Date | 12/01/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 421 MISSION LN
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City | FRANKLIN
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State | OH
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Zip | 45005-2327
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Country | US
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Telephone | 937-746-3943
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Fax | 937-746-9126
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Provider Business Mailing Address
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Address Line | 8200 BECKETT PARK DR
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City | HAMILTON
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State | OH
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Zip | 45011-8955
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Country | US
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Telephone | 513-682-2700
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Fax | 513-682-2716
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Authorized Official
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Title or Position | CEO
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Name | MS. WANDA JEAN RICE
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Credential |
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Telephone | 513-682-2700
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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 | 6237
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License Number State | OH
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