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General NPI Number Information
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NPI Number | 1265304877
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Entity Type | Organization
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Legal Business Name | BHW ESTATE
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 122 LUCY AVE
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City | MEMPHIS
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State | TN
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Zip | 38106-2714
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Country | US
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Telephone | 901-288-0787
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Fax |
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Provider Business Mailing Address
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Address Line | 2026 BELOVER DR
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City | MEMPHIS
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State | TN
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Zip | 38127-3302
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Country | US
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Telephone | 901-288-0787
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. DEBRA HOGUE BRANTLEY
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Credential |
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Telephone | 901-288-0787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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