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General NPI Number Information
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NPI Number | 1598923146
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Entity Type | Organization
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Legal Business Name | PAIN AND HEALTH SOLUTIONS, INC.
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Dates
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Enumeration Date | 05/30/2008
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Last Update Date | 05/30/2008
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Provider Practice Location Address
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Address Line | 520 W BROADWAY AVE
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City | MARYVILLE
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State | TN
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Zip | 37801-4712
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Country | US
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Telephone | 865-982-6321
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Fax | 865-681-1875
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Provider Business Mailing Address
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Address Line | 520 W BROADWAY AVE
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City | MARYVILLE
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State | TN
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Zip | 37801-4712
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Country | US
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Telephone | 865-982-6321
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Fax | 865-681-1875
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EUGENE RUNNE
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Credential | DC
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Telephone | 865-982-6321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC528
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License Number State | TN
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