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General NPI Number Information
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NPI Number | 1205835808
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Entity Type | Organization
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Legal Business Name | DEMING CLINIC CORPORATION
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Dates
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Enumeration Date | 07/18/2005
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Last Update Date | 07/07/2023
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Provider Practice Location Address
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Address Line | 905 S 8TH ST STE A
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City | DEMING
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State | NM
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Zip | 88030-4037
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Country | US
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Telephone | 575-543-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 1573 MALLORY LN STE 100
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City | BRENTWOOD
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State | TN
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Zip | 37027-2895
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Country | US
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Telephone | 152-221-1400
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Fax |
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Authorized Official
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Title or Position | SR. DIRECTOR PHYSICIAN REV CYCLE
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Name | LAURA J FEY
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Credential |
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Telephone | 615-221-3641
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | NM
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