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General NPI Number Information
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NPI Number | 1063618346
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Entity Type | Organization
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Legal Business Name | HAMBY & HAMBY FAMILY WELLNESS CLINIC PLLC
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 08/25/2020
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Provider Practice Location Address
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Address Line | 30 NORTHRIDGE DR
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City | VAN BUREN
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State | AR
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Zip | 72956-6668
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Country | US
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Telephone | 479-420-4575
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6968
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City | VAN BUREN
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State | AR
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Zip | 72956-0961
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Country | US
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Telephone | 479-420-4575
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | TAMARA HAMBY
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Credential |
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Telephone | 479-922-9355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E0957
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License Number State | AR
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