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General NPI Number Information
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NPI Number | 1447342720
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Entity Type | Organization
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Legal Business Name | SAMUEL K. TURNER D.O., P.C.
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 01/04/2013
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Provider Practice Location Address
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Address Line | 702 E 34TH ST SUITE 101
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City | JOPLIN
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State | MO
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Zip | 64804-3967
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Country | US
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Telephone | 417-782-3032
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Fax | 417-782-6466
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Provider Business Mailing Address
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Address Line | 702 E 34TH ST SUITE 101
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City | JOPLIN
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State | MO
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Zip | 64804-3967
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Country | US
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Telephone | 417-782-3032
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Fax | 417-782-6466
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Authorized Official
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Title or Position | PRESIDENT OF COMPANY
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Name | DR. SAMUEL K. TURNER JR.
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Credential | D.O.
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Telephone | 417-782-3032
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | R5J96
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License Number State | MO
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