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General NPI Number Information
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NPI Number | 1528468212
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Entity Type | Organization
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Legal Business Name | JANICE S. ALGEGA, MD
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Dates
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Enumeration Date | 08/29/2014
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Last Update Date | 08/29/2014
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Provider Practice Location Address
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Address Line | 8081 HIGHWAY 51 NORTH
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City | MILLINGTON
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State | TN
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Zip | 38053
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Country | US
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Telephone | 901-873-4242
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Fax |
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Provider Business Mailing Address
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Address Line | 8081 HIGHWAY 51 NORTH
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City | MILLINGTON
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State | TN
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Zip | 38053
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Country | US
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Telephone | 901-873-4242
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Fax |
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Authorized Official
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Title or Position | PATIENT ACCT REP
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Name | MRS. KIM WICKER
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Credential |
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Telephone | 901-873-4242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 016598
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License Number State | TN
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