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General NPI Number Information
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NPI Number | 1316945322
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Entity Type | Organization
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Legal Business Name | DDMS, LLC
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Dates
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Enumeration Date | 07/13/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5050 POPLAR AVE SUITE 718
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City | MEMPHIS
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State | TN
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Zip | 38157-0101
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Country | US
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Telephone | 901-767-1455
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Fax | 901-767-1409
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Provider Business Mailing Address
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Address Line | 5050 POPLAR AVE SUITE 718
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City | MEMPHIS
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State | TN
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Zip | 38157-0101
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Country | US
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Telephone | 901-767-1455
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Fax | 901-767-1409
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. TERRY SWATLEY
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Credential |
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Telephone | 901-767-1455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State |
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