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General NPI Number Information
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NPI Number | 1871259895
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Entity Type | Organization
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Legal Business Name | FIRSTCALL FAMILY HEALTHCARE
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Dates
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Enumeration Date | 11/14/2021
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Last Update Date | 03/16/2022
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Provider Practice Location Address
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Address Line | 98 1ST ST
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City | GAINESVILLE
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State | MO
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Zip | 65655-7412
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Country | US
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Telephone | 870-710-0927
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 932
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City | GAINESVILLE
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State | MO
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Zip | 65655-0932
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Country | US
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Telephone | 870-710-0927
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARTI LEA WARDEN
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Credential | FNP
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Telephone | 870-710-0927
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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