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General NPI Number Information
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NPI Number | 1255953956
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Entity Type | Organization
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Legal Business Name | ENDO 247 LLC
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Dates
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Enumeration Date | 05/15/2020
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Last Update Date | 05/06/2021
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Provider Practice Location Address
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Address Line | 5220 PARK AVE STE 202
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City | MEMPHIS
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State | TN
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Zip | 38119-3549
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Country | US
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Telephone | 901-744-3362
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Fax |
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Provider Business Mailing Address
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Address Line | 875 W POPLAR AVE STE 23 #102
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City | COLLIERVILLE
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State | TN
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Zip | 38017-2598
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Country | US
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Telephone | 901-744-3362
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Fax | 901-744-7658
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Authorized Official
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Title or Position | CHIEF MANAGER/PROVIDER
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Name | DR. CHERECHI C. OGWO
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Credential | MD
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Telephone | 901-744-3362
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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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