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General NPI Number Information
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NPI Number | 1235187949
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Entity Type | Organization
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Legal Business Name | MEMPHIS PSYCHIATRIC AND ADDICTION CLINIC, PC
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 07/08/2011
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Provider Practice Location Address
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Address Line | 8356 SILVERWIND DR
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City | MEMPHIS
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State | TN
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Zip | 38125-0767
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Country | US
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Telephone | 901-273-2368
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Fax | 901-273-2351
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Provider Business Mailing Address
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Address Line | 8356 SILVERWIND DR
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City | MEMPHIS
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State | TN
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Zip | 38125-0767
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Country | US
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Telephone | 901-273-2368
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Fax | 901-273-2351
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. RADWAN R KHURI
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Credential | MD
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Telephone | 901-273-2368
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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