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General NPI Number Information
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NPI Number | 1790756484
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Entity Type | Organization
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Legal Business Name | HOMETOWN MEDICAL SERVICES
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 01/06/2016
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Provider Practice Location Address
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Address Line | 3909 COVINGTON PIKE
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City | MEMPHIS
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State | TN
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Zip | 38135-2281
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Country | US
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Telephone | 901-476-9996
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Fax | 901-476-9986
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Provider Business Mailing Address
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Address Line | PO BOX 305
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City | MASON
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State | TN
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Zip | 38049-0305
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Country | US
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Telephone | 901-476-9996
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Fax | 901-476-9986
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Authorized Official
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Title or Position | OWNER
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Name | MR. ALAN BRIAN HOPKINS
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Credential | ACNP
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Telephone | 901-476-9996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | TN102421
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License Number State | TN
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