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General NPI Number Information
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NPI Number | 1124326327
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Entity Type | Organization
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Legal Business Name | MEMPHIS HEALTH CENTER, INC.
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Dates
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Enumeration Date | 03/11/2011
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Last Update Date | 09/15/2020
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Provider Practice Location Address
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Address Line | 360 E EH CRUMP BLVD
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City | MEMPHIS
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State | TN
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Zip | 38126-5310
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Country | US
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Telephone | 901-261-2002
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Fax | 901-946-9262
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Provider Business Mailing Address
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Address Line | 360 E EH CRUMP BLVD
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City | MEMPHIS
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State | TN
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Zip | 38126-5310
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Country | US
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Telephone | 901-261-2000
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Fax | 901-946-9262
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Authorized Official
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Title or Position | CEO
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Name | MRS. MARILYN BURRESS
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Credential |
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Telephone | 901-261-2012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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