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General NPI Number Information
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NPI Number | 1447124482
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Entity Type | Organization
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Legal Business Name | FAMILY MEDICINE WITH SURGICAL OBSTETRICS, PLLC
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Dates
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Enumeration Date | 10/02/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 5896 ESSEX CT APT 3
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City | MEMPHIS
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State | TN
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Zip | 38119-5708
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Country | US
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Telephone | 731-630-0898
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Fax | 901-425-9741
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Provider Business Mailing Address
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Address Line | 5896 ESSEX CT APT 3
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City | MEMPHIS
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State | TN
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Zip | 38119-5708
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Country | US
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Telephone | 731-630-0898
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Fax | 901-425-9741
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Authorized Official
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Title or Position | OWNER
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Name | JOSHUA ECHEVERRIA
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Credential | MD
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Telephone | 901-491-0868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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