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General NPI Number Information
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NPI Number | 1093561367
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Entity Type | Organization
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Legal Business Name | HOMETOWN HEALTH CARE
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Dates
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Enumeration Date | 04/27/2024
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Last Update Date | 04/27/2024
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Provider Practice Location Address
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Address Line | 1820 43RD AVE STE B
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City | VERO BEACH
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State | FL
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Zip | 32960-0574
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Country | US
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Telephone | 772-539-7777
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Fax |
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Provider Business Mailing Address
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Address Line | 470 EMERALD AVE
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City | FORT PIERCE
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State | FL
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Zip | 34945-2123
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Country | US
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Telephone | 772-370-5880
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRITTNEY OLSON
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Credential | APRN
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Telephone | 772-370-5880
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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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