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General NPI Number Information
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NPI Number | 1194586909
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Entity Type | Organization
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Legal Business Name | TECHFIT
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Dates
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Enumeration Date | 01/18/2024
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Last Update Date | 01/18/2024
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Provider Practice Location Address
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Address Line | 954 N 2ND ST
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City | MEMPHIS
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State | TN
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Zip | 38107-1825
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Country | US
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Telephone | 901-230-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 6584 POPLAR AVE FL 2
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City | MEMPHIS
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State | TN
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Zip | 38138-3687
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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 | EXECUTIVE DIRECTOR
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Name | FELICIA CRAYTON-LLOYD
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Credential |
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Telephone | 901-250-2300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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