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General NPI Number Information
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NPI Number | 1306551288
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Entity Type | Organization
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Legal Business Name | RURAL HEALTH CLINICS LLC
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Dates
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Enumeration Date | 01/16/2023
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Last Update Date | 01/16/2023
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Provider Practice Location Address
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Address Line | 1914 VETERANS DR
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City | FLORENCE
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State | AL
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Zip | 35630-4933
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Country | US
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Telephone | 256-503-3081
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Fax | 256-333-4031
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Provider Business Mailing Address
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Address Line | PO BOX 2470
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City | MUSCLE SHOALS
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State | AL
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Zip | 35662-2470
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Country | US
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Telephone | 256-333-4118
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Fax | 256-333-4031
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Authorized Official
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Title or Position | NURSE PRACTITIONER/OWNER
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Name | KEVIN P BOWLING
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Credential | CRNP
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Telephone | 256-333-4118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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