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General NPI Number Information
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NPI Number | 1982695722
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Entity Type | Organization
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Legal Business Name | VALLEY VIEW SENIOR LIFE, LLC
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Dates
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Enumeration Date | 11/01/2005
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 1417 W ASH ST
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City | JUNCTION CITY
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State | KS
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Zip | 66441-3332
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Country | US
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Telephone | 785-762-2162
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Fax | 785-762-5036
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Provider Business Mailing Address
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Address Line | 1417 W ASH ST
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City | JUNCTION CITY
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State | KS
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Zip | 66441-3332
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Country | US
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Telephone | 785-762-2162
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Fax | 785-762-5036
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. CHRISTOPHER A. REA
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Credential |
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Telephone | 785-762-2162
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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 | N031003
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License Number State | KS
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