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General NPI Number Information
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NPI Number | 1437623527
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Entity Type | Organization
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Legal Business Name | HAMSHIRE-FANNETT URGENT CARE LLC
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Dates
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Enumeration Date | 01/11/2019
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Last Update Date | 06/01/2023
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Provider Practice Location Address
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Address Line | 15845 HWY 124
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City | BEAUMONT
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State | TX
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Zip | 77705-8777
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Country | US
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Telephone | 409-781-3158
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Fax |
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Provider Business Mailing Address
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Address Line | 15845 HIGHWAY 124
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City | BEAUMONT
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State | TX
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Zip | 77705
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Country | US
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Telephone | 409-781-3158
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TIMOTHY WAYNE BYERS JR.
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Credential |
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Telephone | 409-781-3158
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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