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General NPI Number Information
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NPI Number | 1558365890
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Entity Type | Organization
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Legal Business Name | METHODIST HEALTHCARE - MEMPHIS HOSPITALS
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Dates
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Enumeration Date | 06/01/2005
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Last Update Date | 12/20/2018
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Provider Practice Location Address
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Address Line | 1265 UNION AVE
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City | MEMPHIS
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State | TN
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Zip | 38104-3415
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Country | US
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Telephone | 901-516-7000
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Fax | 901-516-0699
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Provider Business Mailing Address
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Address Line | 1211 UNION AVE STE 700
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City | MEMPHIS
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State | TN
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Zip | 38104-6600
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Country | US
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Telephone | 901-516-0753
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Fax | 901-516-0699
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | CHARLES LANE
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Credential |
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Telephone | 901-516-0962
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC2000X
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Taxonomy Name | Children's Hospital
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License Number | 0000000109
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 0000000109
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License Number State | TN
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