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General NPI Number Information
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NPI Number | 1932104775
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Entity Type | Organization
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Legal Business Name | WESTVIEW OF DERBY REHABILITATION & HEALTH CARE CENTER, LLC
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Dates
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Enumeration Date | 06/17/2005
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Last Update Date | 07/23/2021
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Provider Practice Location Address
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Address Line | 445 N WESTVIEW DR
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City | DERBY
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State | KS
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Zip | 67037-2228
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Country | US
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Telephone | 316-788-3739
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Fax | 316-788-8859
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Provider Business Mailing Address
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Address Line | 445 N WESTVIEW DR
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City | DERBY
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State | KS
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Zip | 67037-2228
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Country | US
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Telephone | 316-788-8859
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | JOSEPH C TUTERA
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Credential |
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Telephone | 816-444-0900
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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 | N087025
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License Number State | KS
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