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General NPI Number Information
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NPI Number | 1326919200
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Entity Type | Organization
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Legal Business Name | UT MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 930 MADISON AVE STE 200
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City | MEMPHIS
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State | TN
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Zip | 38103-3452
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Country | US
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Telephone | 901-448-6650
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Fax | 901-302-2486
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Provider Business Mailing Address
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Address Line | 930 MADISON AVE STE 200
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City | MEMPHIS
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State | TN
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Zip | 38103-3452
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Country | US
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Telephone | 901-448-6650
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Fax | 901-302-2486
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Authorized Official
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Title or Position | CHIEF OPERATIONS OFFICER
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Name | COURTNEY KNOP LOVE
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Credential |
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Telephone | 901-866-8105
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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