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General NPI Number Information
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NPI Number | 1801367149
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Entity Type | Organization
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Legal Business Name | H H Y, LLC
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Dates
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Enumeration Date | 12/16/2018
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Last Update Date | 12/14/2023
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Provider Practice Location Address
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Address Line | 1805 INDUSTRIAL WAY
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City | CLARKSVILLE
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State | TX
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Zip | 75426-2564
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Country | US
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Telephone | 903-428-0100
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Fax | 903-428-0101
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Provider Business Mailing Address
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Address Line | PO BOX 1021
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City | CLARKSVILLE
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State | TX
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Zip | 75426-1021
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Country | US
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Telephone | 903-428-0100
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Fax | 903-428-0101
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Authorized Official
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Title or Position | OWNER
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Name | MELISSA PUCKETT
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Credential |
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Telephone | 903-715-0760
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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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