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General NPI Number Information
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NPI Number | 1154934677
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Entity Type | Organization
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Legal Business Name | RESILIENT MEDICAL SERVICES
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Dates
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Enumeration Date | 08/25/2020
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Last Update Date | 03/15/2022
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Provider Practice Location Address
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Address Line | 721 W BROOKHAVEN CIR
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City | MEMPHIS
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State | TN
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Zip | 38117-4503
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Country | US
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Telephone | 901-821-0945
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Fax | 901-255-0637
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Provider Business Mailing Address
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Address Line | 721 W BROOKHAVEN CIR
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City | MEMPHIS
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State | TN
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Zip | 38117-4503
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Country | US
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Telephone | 901-821-0945
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Fax | 901-255-0637
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | DEBRA JAMES
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Credential |
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Telephone | 901-488-7995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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