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General NPI Number Information
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NPI Number | 1356855092
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Entity Type | Organization
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Legal Business Name | HOMETOWN HOUSE CALLS, PLLC
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Dates
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Enumeration Date | 11/16/2017
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Last Update Date | 11/16/2017
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Provider Practice Location Address
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Address Line | 6428 W WILKINSON BLVD STE 210
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City | BELMONT
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State | NC
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Zip | 28012-2858
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Country | US
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Telephone | 704-616-9691
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Fax |
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Provider Business Mailing Address
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Address Line | 6428 W WILKINSON BLVD STE 210
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City | BELMONT
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State | NC
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Zip | 28012-2858
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Country | US
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Telephone | 704-616-9691
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALLISON T BANSEN
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Credential | NP
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Telephone | 704-648-1970
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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