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General NPI Number Information
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NPI Number | 1932190758
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Entity Type | Organization
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Legal Business Name | GRANDVIEW HEALTH CARE CENTER, INC.
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Dates
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Enumeration Date | 11/01/2005
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Last Update Date | 07/25/2007
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Provider Practice Location Address
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Address Line | 508 2ND ST NE
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City | DAYTON
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State | IA
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Zip | 50530-7530
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Country | US
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Telephone | 515-547-2288
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Fax |
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Provider Business Mailing Address
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Address Line | 508 2ND ST NE
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City | DAYTON
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State | IA
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Zip | 50530-7530
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Country | US
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Telephone | 515-547-2288
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Fax |
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Authorized Official
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Title or Position | SECRETARY / TREASURER
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Name | MR. CHAUNCEY R. DUNBAR
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Credential | CPA
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Telephone | 601-956-1576
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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 | 940127
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License Number State | IA
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