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General NPI Number Information
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NPI Number | 1447077516
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Entity Type | Organization
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Legal Business Name | MBS HEALTH SOLUTIONS
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Dates
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Enumeration Date | 09/20/2024
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 830 WILLOW TREE CIR STE 2
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City | CORDOVA
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State | TN
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Zip | 38018-6330
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Country | US
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Telephone | 901-319-5159
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Fax |
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Provider Business Mailing Address
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Address Line | 830 WILLOW TREE CIR STE 2
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City | CORDOVA
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State | TN
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Zip | 38018-6330
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Country | US
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Telephone | 901-319-5159
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. GLENDA PULLIAM
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Credential |
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Telephone | 704-449-6400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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