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General NPI Number Information
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NPI Number | 1003657123
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Entity Type | Organization
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Legal Business Name | HOMETOWN HEALTHCARE LLC
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Dates
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Enumeration Date | 06/03/2024
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Last Update Date | 09/15/2024
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Provider Practice Location Address
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Address Line | 250 S IRVING RD
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City | BEATTY
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State | NV
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Zip | 89003-8098
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Country | US
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Telephone | 775-990-1414
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Fax |
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Provider Business Mailing Address
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Address Line | 3420 W DONNER ST
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City | PAHRUMP
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State | NV
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Zip | 89048-5087
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Country | US
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Telephone | 775-537-8621
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. MARKEETA DAWN ARAUJO
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Credential | APRN
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Telephone | 473-427-5655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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