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General NPI Number Information
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NPI Number | 1487785812
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Entity Type | Organization
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Legal Business Name | BROWNWOOD URGENT CARE FAMILY PRACTICE
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 08/16/2011
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Provider Practice Location Address
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Address Line | 120 S PARK DR STE # F
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City | BROWNWOOD
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State | TX
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Zip | 76801-5918
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Country | US
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Telephone | 325-641-1600
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Fax |
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Provider Business Mailing Address
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Address Line | 120 S PARK DR STE # F
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City | BROWNWOOD
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State | TX
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Zip | 76801-5918
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Country | US
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Telephone | 325-641-1600
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MRS. JUNE M. HITE
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Credential | CFNP
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Telephone | 325-641-1600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 32013573186
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License Number State | TX
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