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General NPI Number Information
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NPI Number | 1518968296
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Entity Type | Organization
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Legal Business Name | LORNA TURNAGE
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Dates
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Enumeration Date | 08/03/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 203 E 3RD ST
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City | PORTAGEVILLE
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State | MO
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Zip | 63873-1401
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Country | US
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Telephone | 573-379-2100
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Fax | 573-379-2101
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Provider Business Mailing Address
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Address Line | 203 E 3RD ST
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City | PORTAGEVILLE
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State | MO
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Zip | 63873-1401
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Country | US
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Telephone | 573-379-2100
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Fax | 573-379-2101
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Authorized Official
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Title or Position | FNP OWNER
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Name | LORNA A TURNAGE
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Credential | FNP
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Telephone | 573-379-2100
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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 | MO
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Taxonomy #2
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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