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General NPI Number Information
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NPI Number | 1871980110
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Entity Type | Organization
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Legal Business Name | TURNER MEDICAL GROUP
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Dates
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Enumeration Date | 04/24/2015
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Last Update Date | 04/24/2015
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Provider Practice Location Address
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Address Line | 816 CROSS LANES DR
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City | CROSS LANES
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State | WV
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Zip | 25313-1334
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Country | US
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Telephone | 304-776-1611
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Fax | 304-776-0116
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Provider Business Mailing Address
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Address Line | 816 CROSS LANES DR
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City | CROSS LANES
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State | WV
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Zip | 25313-1334
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Country | US
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Telephone | 304-776-1611
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Fax | 304-776-0116
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. CHAD CHRISTOPHER TURNER
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Credential | MD
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Telephone | 304-776-1611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 22110
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License Number State | WV
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