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General NPI Number Information
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NPI Number | 1083414437
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Entity Type | Organization
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Legal Business Name | SELECTED MOTION GROUP LLC
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Dates
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Enumeration Date | 03/15/2025
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Last Update Date | 03/15/2025
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Provider Practice Location Address
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Address Line | 1331 UNION AVE STE 1000
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City | MEMPHIS
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State | TN
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Zip | 38104-7501
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Country | US
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Telephone | 901-592-1000
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Fax | 901-290-0646
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Provider Business Mailing Address
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Address Line | 1331 UNION AVE STE 1000
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City | MEMPHIS
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State | TN
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Zip | 38104-7501
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Country | US
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Telephone | 901-592-1000
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Fax | 901-290-0646
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Authorized Official
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Title or Position | CEO
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Name | MR. DARRYL D AYERS
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Credential |
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Telephone | 901-530-0797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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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 | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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