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General NPI Number Information
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NPI Number | 1336883800
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Entity Type | Organization
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Legal Business Name | HOMETOWN HEALTH AND WELLNESS, PLLC
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Dates
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Enumeration Date | 04/21/2022
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Last Update Date | 08/31/2022
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Provider Practice Location Address
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Address Line | 17509 HIGHWAY 21
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City | SEBASTOPOL
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State | MS
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Zip | 39359
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Country | US
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Telephone | 601-287-8177
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Fax | 833-934-3464
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Provider Business Mailing Address
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Address Line | PO BOX 651
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City | SEBASTOPOL
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State | MS
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Zip | 39359-0651
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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 | FAMILY NURSE PRACTITIONER
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Name | ASHLEY KAYE BARBER
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Credential | FNP
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Telephone | 601-507-9817
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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