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General NPI Number Information
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NPI Number | 1457531790
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Entity Type | Organization
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Legal Business Name | TRI-CITY FAMILY MEDICINE & URGENT CARE CLINIC, PLLC
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Dates
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Enumeration Date | 11/04/2007
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Last Update Date | 01/01/2026
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Provider Practice Location Address
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Address Line | 107 HYANNIS DR
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-8336
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Country | US
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Telephone | 919-363-8666
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Fax | 919-363-8668
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Provider Business Mailing Address
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Address Line | 107 HYANNIS DR
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-8336
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Country | US
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Telephone | 919-363-8666
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Fax | 919-363-8668
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | AVANI PATEL
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Credential |
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Telephone | 919-363-8666
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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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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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