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General NPI Number Information
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NPI Number | 1609850692
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Entity Type | Organization
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Legal Business Name | METHODIST INPATIENT PHYSICIANS LLC
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Dates
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Enumeration Date | 12/02/2005
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Last Update Date | 09/22/2025
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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 | 901-516-2362
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Fax | 901-516-8254
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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 | 901-478-0954
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Fax | 901-937-6696
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Authorized Official
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Title or Position | MANAGER, PROVIDER ENROLLMENT
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Name | TABATHA PERRY
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Credential |
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Telephone | 901-478-0954
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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