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General NPI Number Information
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NPI Number | 1073807582
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Entity Type | Individual
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Provider Name | LORAINE O. ACHEBE M.D
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Gender | Female
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Dates
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Enumeration Date | 06/01/2011
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Last Update Date | 02/18/2021
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Provider Practice Location Address
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Address Line | 2305 CHAMBLISS AVE NW
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City | CLEVELAND
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State | TN
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Zip | 37311-3847
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Country | US
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Telephone | 423-559-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 9801 JUPITER FOREST DR
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City | BRENTWOOD
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State | TN
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Zip | 37027-8591
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 51597
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 51597
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License Number State | TN
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