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General NPI Number Information
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NPI Number | 1295936821
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Entity Type | Individual
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Provider Name | PATRICK SHAWN DRUMMOND APRN
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Gender | Male
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 2245 S LAUDERDALE ST
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City | MEMPHIS
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State | TN
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Zip | 38106-7517
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Country | US
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Telephone | 901-948-5558
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Fax |
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Provider Business Mailing Address
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Address Line | 12330 OIL FIELD LN
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City | ARLINGTON
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State | TN
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Zip | 38002-8776
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Country | US
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Telephone | 901-628-6703
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 012766
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License Number State | TN
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