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General NPI Number Information
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NPI Number | 1659168318
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Entity Type | Individual
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Provider Name | VINKRYA ELLISON
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Gender | Female
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Dates
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Enumeration Date | 04/24/2025
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 400 FOGELMAN DR #126 APT 2008
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City | MEMPHIS
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State | TN
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Zip | 38152-0001
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Country | US
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Telephone | 901-678-2147
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Fax |
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Provider Business Mailing Address
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Address Line | THE UNIVERSITY OF MEMPHIS PSYCHOLOGY DEPARTMENT OF 202
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City | MEMPHIS
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State | TN
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Zip | 38152-3230
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Country | US
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Telephone | 901-678-2145
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | TN
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