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General NPI Number Information
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NPI Number | 1730390618
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Entity Type | Organization
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Legal Business Name | HOMETOWN EXPRESS CARE, P.C.
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 228 STARLYN AVE
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City | NEW ALBANY
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State | MS
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Zip | 38652-2428
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Country | US
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Telephone | 662-534-1888
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Fax | 662-534-6007
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Provider Business Mailing Address
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Address Line | 228 STARLYN AVE
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City | NEW ALBANY
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State | MS
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Zip | 38652-2428
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Country | US
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Telephone | 662-534-1888
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Fax | 662-534-6007
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Authorized Official
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Title or Position | C.F.N.P.
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Name | MS. ANGELA JEAN CAMPBELL
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Credential | C.F.N.P.
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Telephone | 662-534-1888
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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 | R758732
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License Number State | MS
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