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General NPI Number Information
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NPI Number | 1376511253
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Entity Type | Individual
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Provider Name | BEN B KEMKER D.C.
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Gender | Male
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 01/31/2020
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Provider Practice Location Address
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Address Line | 2855 STAGE VILLAGE CV STE 1
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City | MEMPHIS
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State | TN
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Zip | 38134-4616
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Country | US
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Telephone | 901-412-4198
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Fax | 901-377-7309
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Provider Business Mailing Address
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Address Line | 7785 TERRY FRANKLIN DR
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City | BARTLETT
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State | TN
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Zip | 38133-2094
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Country | US
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Telephone | 901-412-4198
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Fax | 901-377-7309
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC0000001082
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License Number State | TN
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