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General NPI Number Information
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NPI Number | 1497191282
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Entity Type | Organization
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Legal Business Name | ALL ABOUT YOU FAMILY PRACTICE
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Dates
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Enumeration Date | 05/20/2013
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Last Update Date | 05/20/2013
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Provider Practice Location Address
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Address Line | 1264 WESLEY DR STE 103
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City | MEMPHIS
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State | TN
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Zip | 38116-6433
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Country | US
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Telephone | 901-516-3872
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Fax |
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Provider Business Mailing Address
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Address Line | 1264 WESLEY DR STE 103
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City | MEMPHIS
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State | TN
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Zip | 38116-6433
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Country | US
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Telephone | 901-516-3872
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MISS DENISE R WOODS
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Credential | FNP
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Telephone | 901-516-3872
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11743
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License Number State | TN
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