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General NPI Number Information
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NPI Number | 1093453144
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Entity Type | Organization
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Legal Business Name | HILL COUNTRY COMMUNITY CLINIC
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Dates
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Enumeration Date | 05/26/2022
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 3270 CHURN CREEK ROAD SUITE #101
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City | REDDING
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State | CA
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Zip | 96002
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Country | US
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Telephone | 530-232-0570
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Fax | 530-232-0571
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Provider Business Mailing Address
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Address Line | 1620 W NORTHWEST HWY SUITE 100
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City | GRAPEVINE
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State | TX
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Zip | 76051
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Country | US
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Telephone | 817-572-0009
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Fax | 817-572-0221
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Authorized Official
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Title or Position | CEO
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Name | JO CAMPBELL
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Credential |
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Telephone | 530-945-3672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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