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General NPI Number Information
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NPI Number | 1427195668
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Entity Type | Organization
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Legal Business Name | THE SANDERS CLINIC
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 12/07/2009
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Provider Practice Location Address
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Address Line | 6027 WALNUT GROVE RD SUITE 401
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City | MEMPHIS
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State | TN
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Zip | 38120-2145
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Country | US
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Telephone | 901-525-1438
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Fax | 901-521-0477
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Provider Business Mailing Address
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Address Line | 6027 WALNUT GROVE RD SUITE 401
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City | MEMPHIS
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State | TN
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Zip | 38120-2145
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Country | US
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Telephone | 901-525-1438
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Fax | 901-521-0477
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MRS. FREDA M PRITCHARD
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Credential |
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Telephone | 901-525-1438
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State |
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