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General NPI Number Information
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NPI Number | 1932602984
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Entity Type | Organization
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Legal Business Name | KRUMM WELLNESS
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Dates
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Enumeration Date | 03/16/2018
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Last Update Date | 03/16/2018
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Provider Practice Location Address
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Address Line | 213 S 6TH ST
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City | IRONTON
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State | OH
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Zip | 45638-1624
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Country | US
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Telephone | 740-533-0550
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Fax |
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Provider Business Mailing Address
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Address Line | 2126 WOODLAND DR
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City | IRONTON
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State | OH
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Zip | 45638-2350
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RANDALL R KRUMM
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Credential | DC
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Telephone | 740-442-1600
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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 | 2769
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License Number State | OH
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