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General NPI Number Information
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NPI Number | 1841313988
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Entity Type | Organization
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Legal Business Name | RUNNELS CHIROPRACTIC, L.L.C.
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 101-2 S. MAIN ST.
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City | CASSVILLE
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State | MO
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Zip | 65625-1336
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Country | US
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Telephone | 417-847-0711
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Fax | 417-847-0713
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Provider Business Mailing Address
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Address Line | 101-2 S. MAIN ST.
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City | CASSVILLE
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State | MO
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Zip | 65625-1336
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Country | US
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Telephone | 417-847-0711
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Fax | 417-847-0713
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. STEVEN KENT RUNNELS
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Credential | D.C.
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Telephone | 417-847-0711
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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 | 2005017517
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License Number State | MO
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