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General NPI Number Information
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NPI Number | 1669746723
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Entity Type | Organization
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Legal Business Name | LIFE HELP PSYCHIATRY & COACHING LLC
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Dates
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Enumeration Date | 03/06/2012
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Last Update Date | 03/06/2012
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Provider Practice Location Address
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Address Line | 3249 HOMEWOOD DR
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City | MEMPHIS
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State | TN
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Zip | 38128-4409
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Country | US
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Telephone | 901-486-8800
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Fax | 901-531-8103
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Provider Business Mailing Address
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Address Line | 3249 HOMEWOOD DR
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City | MEMPHIS
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State | TN
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Zip | 38128-4409
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Country | US
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Telephone | 901-486-8800
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Fax | 901-531-8103
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | JACQUELINE D MOSES
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Credential | M.D.
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Telephone | 901-486-8800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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