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General NPI Number Information
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NPI Number | 1639777378
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Entity Type | Organization
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Legal Business Name | HOMETOWN MEDICAL PLLC
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Dates
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Enumeration Date | 10/14/2020
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Last Update Date | 09/21/2025
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Provider Practice Location Address
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Address Line | 1231 N MAIN ST
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City | LILLINGTON
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State | NC
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Zip | 27546-8286
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Country | US
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Telephone | 910-474-0050
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Fax | 863-228-8484
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Provider Business Mailing Address
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Address Line | 130 PINE STATE ST SUITE C
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City | LILLINGTON
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State | NC
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Zip | 27546
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Country | US
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Telephone | 910-474-0050
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Fax | 863-228-8484
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Authorized Official
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Title or Position | OWNER/PA-C
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Name | MONIQUE I. TORRES
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Credential | PA-C
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Telephone | 910-474-0050
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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 |
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License Number State |
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