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General NPI Number Information
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NPI Number | 1316352099
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Entity Type | Individual
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Provider Name | DANIEL POOR
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Gender | Male
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Dates
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Enumeration Date | 06/21/2014
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Last Update Date | 07/17/2018
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Provider Practice Location Address
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Address Line | BAPTIST MEMORIAL HOSPITAL MEMPHIS 124 N. HUMPHREY'S BLVD
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City | MEMPHIS
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State | TN
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Zip | 38120
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Country | US
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Telephone | 902-226-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 8675 WINE LEAF CV
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City | GERMANTOWN
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State | TN
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Zip | 38139-4443
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Country | US
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Telephone | 646-645-9779
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | E-10782
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 25383
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | #39
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 56527
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License Number State | TN
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