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General NPI Number Information
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NPI Number | 1265834048
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Entity Type | Organization
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Legal Business Name | CAREMORE MEDICAL GROUP OF TENNESSEE PC
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Dates
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Enumeration Date | 09/23/2014
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Last Update Date | 08/30/2018
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Provider Practice Location Address
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Address Line | 1169 JEFFERSON
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City | MEMPHIS
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State | TN
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Zip | 38104
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Country | US
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Telephone | 562-622-2905
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Fax |
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Provider Business Mailing Address
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Address Line | 12900 PARK PLAZA DR SUITE 150
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City | CERRITOS
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State | CA
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Zip | 90703-9329
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Country | US
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Telephone | 562-622-2905
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | TERENCE RHONE
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Credential | M.D.
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Telephone | 888-291-1358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | MD0000044393
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License Number State | TN
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