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General NPI Number Information
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NPI Number | 1689665903
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Entity Type | Individual
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Provider Name | JOSEPH A BLYTHE MD
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Gender | Male
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Dates
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Enumeration Date | 11/04/2005
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Last Update Date | 06/19/2015
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Provider Practice Location Address
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Address Line | 3557 S GALLOWAY DR
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City | MEMPHIS
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State | TN
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Zip | 38111-6816
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Country | US
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Telephone | 901-371-6666
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Fax | 901-324-6355
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Provider Business Mailing Address
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Address Line | 3557 S GALLOWAY DR
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City | MEMPHIS
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State | TN
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Zip | 38111-6816
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Country | US
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Telephone | 901-371-6666
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Fax | 901-324-6355
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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 | 7632
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | 7632
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License Number State | TN
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