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General NPI Number Information
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NPI Number | 1235427139
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Entity Type | Organization
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Legal Business Name | LINDEN BELLEVUE INJURY CLINIC, LLC
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Dates
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Enumeration Date | 07/13/2011
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Last Update Date | 07/13/2011
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Provider Practice Location Address
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Address Line | 295 S BELLEVUE BLVD
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City | MEMPHIS
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State | TN
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Zip | 38104-7517
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Country | US
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Telephone | 901-725-0522
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Fax | 901-725-0523
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Provider Business Mailing Address
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Address Line | 295 S BELLEVUE BLVD
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City | MEMPHIS
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State | TN
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Zip | 38104-7517
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Country | US
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Telephone | 901-725-0522
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Fax | 901-725-0523
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Authorized Official
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Title or Position | REHAB DIRECTOR
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Name | MS. RESA S BARAWID
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Credential | PT
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Telephone | 901-725-0522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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