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General NPI Number Information
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NPI Number | 1952791535
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Entity Type | Organization
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Legal Business Name | HIGHLANDS OF MOUNTAIN VIEW SNF, LLC
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Dates
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Enumeration Date | 02/03/2015
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Last Update Date | 02/03/2015
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Provider Practice Location Address
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Address Line | 706 OAK GROVE ST
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City | MOUNTAIN VIEW
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State | AR
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Zip | 72560-8601
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Country | US
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Telephone | 870-269-5835
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Fax | 870-269-2723
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Provider Business Mailing Address
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Address Line | 706 OAK GROVE ST
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City | MOUNTAIN VIEW
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State | AR
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Zip | 72560-8601
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Country | US
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Telephone | 870-269-5835
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Fax | 870-269-2723
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Authorized Official
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Title or Position | SECRETARY
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Name | BLAINE BRINT
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Credential |
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Telephone | 205-410-8371
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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 |
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License Number State |
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