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General NPI Number Information
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NPI Number | 1487826087
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Entity Type | Organization
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Legal Business Name | FAMILY FIRST CARE CLINIC PLLC
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Dates
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Enumeration Date | 03/24/2008
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 645 WOODLAND OAKS DR STE 300
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City | SCHERTZ
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State | TX
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Zip | 78154-2888
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Country | US
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Telephone | 210-904-1166
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Fax | 210-362-1143
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Provider Business Mailing Address
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Address Line | 645 WOODLAND OAKS DR STE 300
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City | SCHERTZ
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State | TX
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Zip | 78154-2888
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Country | US
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Telephone | 210-904-1166
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Fax | 210-362-1143
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Authorized Official
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Title or Position | OWNER
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Name | MS. ANGELA WILLIAMS MITCHELL
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Credential | FNP
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Telephone | 210-780-0053
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | M2646
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 677222
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 748540
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License Number State | TX
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