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General NPI Number Information
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NPI Number | 1952481491
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Entity Type | Organization
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Legal Business Name | PARKVIEW HOME INC
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 05/19/2008
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Provider Practice Location Address
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Address Line | 930 2ND ST
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City | DODGE
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State | NE
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Zip | 68633-3555
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Country | US
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Telephone | 402-693-2212
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Fax | 402-693-2496
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Provider Business Mailing Address
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Address Line | 930 2ND ST
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City | DODGE
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State | NE
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Zip | 68633-3555
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Country | US
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Telephone | 402-693-2212
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Fax | 402-693-2496
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Authorized Official
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Title or Position | ADMINISTRATOR PARKVIEW HOME INC
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Name | MS. DIANE I FALK
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Credential |
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Telephone | 402-693-2212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 254001
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License Number State | NE
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