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General NPI Number Information
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NPI Number | 1508729880
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Entity Type | Organization
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Legal Business Name | HOMETOWN MEDICAL LLC
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 8 NEW MIDDLETON HWY STE A
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City | GORDONSVILLE
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State | TN
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Zip | 38563-6604
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Country | US
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Telephone | 615-489-3038
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Fax |
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Provider Business Mailing Address
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Address Line | 73 TROUSDALE FERRY PIKE
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City | GORDONSVILLE
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State | TN
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Zip | 38563-2306
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Country | US
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Telephone | 615-489-3038
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Fax |
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Authorized Official
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Title or Position | NP OWNDER
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Name | ANNA CATHERINE SIRCY
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Credential | FNP, PMHNP
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Telephone | 615-489-3038
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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