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General NPI Number Information
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NPI Number | 1750942140
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Entity Type | Organization
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Legal Business Name | RURAL HEALTH CLINICS LLC
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Dates
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Enumeration Date | 06/26/2019
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Last Update Date | 10/30/2020
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Provider Practice Location Address
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Address Line | 1369A GEORGE WALLACE HWY
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City | RUSSELLVILLE
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State | AL
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Zip | 35654-3281
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Country | US
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Telephone | 256-503-3081
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Fax |
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Provider Business Mailing Address
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Address Line | 1369A GEORGE WALLACE HWY
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City | RUSSELLVILLE
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State | AL
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Zip | 35654-3281
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Country | US
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Telephone | 256-503-3081
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MR. KEVIN PAUL BOWLING
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Credential | CRNP
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Telephone | 256-503-3081
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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 |
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