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General NPI Number Information
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NPI Number | 1356392567
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Entity Type | Individual
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Provider Name | PEGGY ANN O'CAIN MD
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Gender | Female
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 1301 PRIMACY PKWY
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City | MEMPHIS
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State | TN
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Zip | 38119-0213
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Country | US
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Telephone | 901-866-8630
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Fax | 901-302-2630
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Provider Business Mailing Address
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Address Line | 1068 CRESTHAVEN RD STE 300
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City | MEMPHIS
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State | TN
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Zip | 38119-0809
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Country | US
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Telephone | 901-866-8864
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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 | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number | 40884
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License Number State | TN
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