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General NPI Number Information
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NPI Number | 1326187980
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Entity Type | Organization
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Legal Business Name | CARMEL CLINIC CORPORATION
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 01/11/2011
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Provider Practice Location Address
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Address Line | 2762 HWY 231 NORTH
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City | SHELBYVILLE
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State | TN
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Zip | 37160
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Country | US
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Telephone | 931-680-1560
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Fax | 931-680-1561
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Provider Business Mailing Address
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Address Line | PO BOX 949
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City | SHELBYVILLE
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State | TN
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Zip | 37162
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Country | US
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Telephone | 931-680-1560
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Fax | 931-680-1561
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Authorized Official
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Title or Position | OWNER
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Name | MR. MUHAMED SALAH FAOUR
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Credential | MD
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Telephone | 931-680-1559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 37844
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License Number State | TN
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