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General NPI Number Information
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NPI Number | 1033855820
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Entity Type | Organization
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Legal Business Name | SMALL TOWN MEDICAL SOLUTIONS LLC
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Dates
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Enumeration Date | 05/05/2022
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 303 STATE HIGHWAY 123 N
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City | STOCKDALE
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State | TX
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Zip | 78160-6059
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Country | US
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Telephone | 830-745-4048
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Fax | 830-745-4049
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Provider Business Mailing Address
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Address Line | 848 FM 1107
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City | STOCKDALE
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State | TX
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Zip | 78160-6904
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Country | US
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Telephone | 830-745-4048
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Fax | 830-745-4049
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Authorized Official
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Title or Position | OWNER
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Name | MR. JAME S DUKAS
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Credential |
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Telephone | 830-745-4048
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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