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General NPI Number Information
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NPI Number | 1992165393
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Entity Type | Organization
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Legal Business Name | MEDI CARE CLINICS PLLC
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Dates
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Enumeration Date | 02/26/2016
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2601 SCRIPTURE ST SUITE 102
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City | DENTON
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State | TX
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Zip | 76201-4321
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Country | US
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Telephone | 940-442-6455
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Fax |
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Provider Business Mailing Address
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Address Line | 9557 N BEACH ST SUITE 121
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City | FORT WORTH
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State | TX
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Zip | 76244-6395
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Country | US
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Telephone | 940-741-5050
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Fax | 940-741-5059
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | MR. PHILIP BLAINE HAMBY
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Credential | MSN
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Telephone | 940-442-6455
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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 | 728078
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License Number State | TX
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