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General NPI Number Information
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NPI Number | 1730337791
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Entity Type | Organization
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Legal Business Name | RUNK AND PRATT OF BEDFORD
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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 | 812 E MAIN ST
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City | BEDFORD
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State | VA
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Zip | 24523-2922
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Country | US
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Telephone | 540-587-9387
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Fax | 540-586-7498
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Provider Business Mailing Address
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Address Line | 812 E MAIN ST
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City | BEDFORD
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State | VA
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Zip | 24523-2922
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Country | US
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Telephone | 540-587-9387
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Fax | 540-586-7498
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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 | RO-08-130
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License Number State | VA
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