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General NPI Number Information
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NPI Number | 1144177882
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Entity Type | Organization
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Legal Business Name | MILLENNIUM MEDICAL GROUP OF TENNESSEE PLLC
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Dates
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Enumeration Date | 03/12/2026
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Last Update Date | 03/12/2026
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Provider Practice Location Address
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Address Line | 6019 WALNUT GROVE RD
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City | MEMPHIS
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State | TN
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Zip | 38120-2113
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Country | US
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Telephone | 855-222-9637
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 20278
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City | BEAUMONT
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State | TX
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Zip | 77720-0278
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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 | OWNER
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Name | SNEHAL DOSHI
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Credential | MD
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Telephone | 855-222-9637
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number |
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License Number State |
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