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General NPI Number Information
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NPI Number | 1689171688
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Entity Type | Individual
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Provider Name | JOCK CARRINGTON LILLARD MD
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Gender | Male
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Dates
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Enumeration Date | 04/07/2018
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 6325 HUMPHREYS BLVD
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City | MEMPHIS
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State | TN
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Zip | 38120-2300
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Country | US
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Telephone | 901-522-7700
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Fax | 901-522-2600
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Provider Business Mailing Address
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Address Line | 6325 HUMPHREYS BLVD
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City | MEMPHIS
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State | TN
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Zip | 38120-2300
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Country | US
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Telephone | 901-522-7700
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Fax | 901-522-2600
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | E-19154
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 34796
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 73646
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License Number State | TN
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