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NPI 1346498318

NPI 1346498318 : RUNK AND PRATT ADULT CARE : LYNCHBURG, VA

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General NPI Number Information
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    NPI Number           |    1346498318
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    Entity Type          |    Organization 
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    Legal Business Name  |    RUNK AND PRATT ADULT CARE 
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Dates
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    Enumeration Date     |    09/03/2008
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    Last Update Date     |    09/03/2008
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Provider Practice Location Address
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    Address Line         |    20212 LEESVILLE RD 
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    City                 |    LYNCHBURG
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    State                |    VA
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    Zip                  |    24502-3669
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    Country              |    US
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    Telephone            |    434-237-7809
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    Fax                  |    434-237-6283
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Provider Business Mailing Address
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    Address Line         |    20212 LEESVILLE RD 
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    City                 |    LYNCHBURG
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    State                |    VA
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    Zip                  |    24502-3669
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    Country              |    US
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    Telephone            |    434-237-7809
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    Fax                  |    434-237-6283
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MR. BRIAN  RUNK 
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    Credential           |    
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    Telephone            |    434-237-2268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    310400000X
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    Taxonomy Name        |    Assisted Living Facility
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    License Number       |    
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    License Number State |    
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