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General NPI Number Information
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NPI Number | 1093507378
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Entity Type | Organization
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Legal Business Name | HOMETOWN HEALING FAMILY MEDICINE PLLC
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 14547 LAKE BUSINESS DR STE 404
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City | CONROE
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State | TX
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Zip | 77304-3251
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Country | US
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Telephone | 936-233-9488
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Fax |
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Provider Business Mailing Address
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Address Line | 18779 OAKRIDGE DR
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City | CLEVELAND
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State | TX
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Zip | 77328-2668
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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/PROVIDER
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Name | TAMARA BLANTON
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Credential | NP
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Telephone | 936-333-0759
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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 |
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License Number State |
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