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General NPI Number Information
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NPI Number | 1164339552
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Entity Type | Organization
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Legal Business Name | ENDOCRINE CLINICS & RESEARCH
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Dates
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Enumeration Date | 08/24/2026
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Last Update Date | 08/24/2026
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Provider Practice Location Address
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Address Line | 1325 EASTMORELAND AVE STE 510
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City | MEMPHIS
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State | TN
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Zip | 38104-7534
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Country | US
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Telephone | 901-580-7070
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Fax | 704-270-6153
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Provider Business Mailing Address
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Address Line | PO BOX 381604
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City | GERMANTOWN
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State | TN
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Zip | 38183-1604
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Country | US
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Telephone | 901-508-7070
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Fax | 704-270-6153
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Authorized Official
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Title or Position | OWNER
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Name | EBENEZER A NYENWE
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Credential | MD
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Telephone | 518-892-7333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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