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General NPI Number Information
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NPI Number | 1396001913
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Entity Type | Individual
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Provider Name | BLAS S. CATALANI III MD
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Gender | Male
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Dates
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Enumeration Date | 04/09/2012
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Last Update Date | 01/28/2022
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Provider Practice Location Address
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Address Line | 5545 MURRAY AVE STE 130
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City | MEMPHIS
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State | TN
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Zip | 38119-3861
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Country | US
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Telephone | 901-682-6828
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 171181 SUITE 150
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City | MEMPHIS
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State | TN
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Zip | 38187-1181
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Country | US
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Telephone | 901-682-6828
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 54569
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License Number State | TN
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