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General NPI Number Information
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NPI Number | 1932569365
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Entity Type | Organization
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Legal Business Name | AMARILLO FAMILY CARE CLINIC PLLC
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Dates
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Enumeration Date | 02/26/2016
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Last Update Date | 04/20/2016
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Provider Practice Location Address
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Address Line | 17401 FM 2575
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City | AMARILLO
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State | TX
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Zip | 79108-8053
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Country | US
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Telephone | 806-236-6274
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 32121
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City | AMARILLO
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State | TX
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Zip | 79120-2121
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Country | US
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Telephone | 806-236-6274
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CECELIA GARCIA BREWER
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Credential | FNP-BC
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Telephone | 806-236-6274
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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 | AP123990
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License Number State | TX
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