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General NPI Number Information
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NPI Number | 1245569987
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Entity Type | Organization
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Legal Business Name | HOMETOWN HEALTHCARE INC.
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Dates
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Enumeration Date | 12/09/2009
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Last Update Date | 01/07/2019
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Provider Practice Location Address
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Address Line | 101 DOCTORS PARK
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City | STARKVILLE
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State | MS
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Zip | 39759-2174
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Country | US
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Telephone | 662-324-8338
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Fax | 662-324-9466
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Provider Business Mailing Address
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Address Line | 107 E WASHINGTON ST
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City | HOUSTON
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State | MS
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Zip | 38851-2225
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Country | US
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Telephone | 662-456-4630
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Fax | 662-456-2262
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Authorized Official
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Title or Position | PRESIDENT
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Name | KEVIN S KILGORE
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Credential |
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Telephone | 662-456-4630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | MS
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