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General NPI Number Information
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NPI Number | 1205123338
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Entity Type | Individual
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Provider Name | CHRISTIN JAMIE RUNKEL DPM
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Gender | Female
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Dates
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Enumeration Date | 07/11/2011
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Last Update Date | 07/11/2011
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Provider Practice Location Address
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Address Line | 803 E 68TH ST
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City | SAVANNAH
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State | GA
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Zip | 31405-4709
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Country | US
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Telephone | 912-355-4557
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Fax |
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Provider Business Mailing Address
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Address Line | 19 WOOD DUCK RD
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City | HILTON HEAD
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State | SC
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Zip | 29928-7105
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Country | US
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Telephone | 847-420-0266
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | POD.618POD
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License Number State | SC
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