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General NPI Number Information
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NPI Number | 1770490963
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Entity Type | Organization
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Legal Business Name | TOTAL FAMILY MEDICAL, LLC
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 11442 AR-27
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City | HECTOR
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State | AR
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Zip | 72843
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Country | US
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Telephone | 479-284-2012
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Fax |
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Provider Business Mailing Address
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Address Line | 11442 AR-27
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City | HECTOR
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State | AR
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Zip | 72843
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Country | US
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Telephone | 479-284-2012
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MARY MARGARET GAUTREAU
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Credential | CNM
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Telephone | 985-542-2466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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