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General NPI Number Information
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NPI Number | 1780504282
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Entity Type | Organization
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Legal Business Name | HOMEGROWN PEDIATRICS LLC
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Dates
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Enumeration Date | 07/16/2026
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Last Update Date | 07/16/2026
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Provider Practice Location Address
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Address Line | 1955 LEE STREET
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City | ROGERSVILLE
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State | AL
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Zip | 35652
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Country | US
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Telephone | 256-374-9116
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Fax |
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Provider Business Mailing Address
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Address Line | 227 MEADOW LN
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City | ROGERSVILLE
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State | AL
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Zip | 35652-3733
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHELLE LYNN HOFFMANN
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Credential |
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Telephone | 256-374-9116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number |
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License Number State |
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