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General NPI Number Information
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NPI Number | 1518753771
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Entity Type | Organization
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Legal Business Name | IN & OUT MEDICAL
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Dates
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Enumeration Date | 04/15/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 201 COMMERCIAL DR STE B
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City | ATOKA
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State | TN
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Zip | 38004-7039
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Country | US
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Telephone | 901-622-4040
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Fax |
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Provider Business Mailing Address
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Address Line | 201 COMMERCIAL DR STE B
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City | ATOKA
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State | TN
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Zip | 38004-7039
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Country | US
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Telephone | 901-622-4040
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Fax | 901-622-4043
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | LINDA DENISE NEELEY
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Credential | FNP-C
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Telephone | 901-622-4040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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