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General NPI Number Information
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NPI Number | 1659360733
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Entity Type | Individual
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Provider Name | JAMES C. CARRUTH M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/20/2005
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 641 RB WILSON DR STE F
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City | HUNTINGDON
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State | TN
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Zip | 38344-1734
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Country | US
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Telephone | 731-986-7450
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Fax | 731-968-7452
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Provider Business Mailing Address
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Address Line | 350 N HUMPHREYS BLVD
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City | MEMPHIS
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State | TN
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Zip | 38120-2177
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Country | US
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Telephone | 901-226-4003
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Fax | 901-227-8591
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 22079
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License Number State | TN
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