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General NPI Number Information
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NPI Number | 1548124522
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Entity Type | Organization
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Legal Business Name | TRICHOCARE CLINIC
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 2685 S PERKINS RD
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City | MEMPHIS
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State | TN
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Zip | 38118-2430
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Country | US
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Telephone | 901-297-9499
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 172261
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City | MEMPHIS
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State | TN
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Zip | 38187-2261
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Country | US
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Telephone | 901-297-9499
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AUDRIS D WILLIAMS
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Credential |
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Telephone | 901-800-8836
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224P00000X
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Taxonomy Name | Prosthetist
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License Number |
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License Number State |
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