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General NPI Number Information
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NPI Number | 1639799984
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Entity Type | Organization
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Legal Business Name | HARDIN COUNTY URGENT CARE PLLC
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Dates
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Enumeration Date | 04/16/2020
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Last Update Date | 01/06/2022
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Provider Practice Location Address
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Address Line | 655 S MAIN ST
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City | LUMBERTON
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State | TX
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Zip | 77657-7378
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Country | US
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Telephone | 94-227-4084
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Fax | 409-227-4140
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Provider Business Mailing Address
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Address Line | 655 S MAIN ST
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City | LUMBERTON
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State | TX
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Zip | 77657-7378
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Country | US
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Telephone | 409-227-4084
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Fax | 409-227-4140
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. TRISHA LACKEY
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Credential |
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Telephone | 409-782-4795
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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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