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General NPI Number Information
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NPI Number | 1366993974
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Entity Type | Organization
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Legal Business Name | CONSOLIDATED HEALTH SERVICES OF MEMPHIS, PLLC
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Dates
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Enumeration Date | 10/18/2016
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Last Update Date | 04/28/2017
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Provider Practice Location Address
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Address Line | 3315 HACKS CROSS RD SUITE 109
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City | MEMPHIS
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State | TN
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Zip | 38125-8935
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Country | US
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Telephone | 901-509-2232
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Fax | 901-552-3986
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Provider Business Mailing Address
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Address Line | 3315 HACKS CROSS RD SUITE 109
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City | MEMPHIS
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State | TN
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Zip | 38125-8935
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Country | US
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Telephone | 901-509-2232
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Fax | 901-552-3986
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Authorized Official
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Title or Position | OWNER
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Name | MR. JAMES LITTON
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Credential | NP
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Telephone | 901-509-2232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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