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General NPI Number Information
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NPI Number | 1861050569
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Entity Type | Organization
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Legal Business Name | ADVENTHEALTH FAMILY MEDICINE RURAL HEALTH CLINICS, INC.
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Dates
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Enumeration Date | 05/29/2019
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 187 PR 4060
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City | LAMPASAS
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State | TX
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Zip | 76550
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Country | US
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Telephone | 512-556-3621
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Fax | 512-556-4080
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Provider Business Mailing Address
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Address Line | PO BOX 1819
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City | LAMPASAS
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State | TX
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Zip | 76550-0015
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Country | US
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Telephone | 512-556-3621
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Fax |
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Authorized Official
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Title or Position | DIR PRACTICE OPERATIONS
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Name | KIMBERLEE GABARA
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Credential |
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Telephone | 512-556-3621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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