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General NPI Number Information
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NPI Number | 1689980054
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Entity Type | Organization
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Legal Business Name | MOBILE HEALTH SCREENINGS INC
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Dates
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Enumeration Date | 08/24/2010
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Last Update Date | 08/24/2010
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Provider Practice Location Address
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Address Line | 275 S WALNUT BEND RD SUITE 101
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City | CORDOVA
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State | TN
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Zip | 38018-7279
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Country | US
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Telephone | 901-757-1531
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Fax | 901-756-2778
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Provider Business Mailing Address
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Address Line | 275 S WALNUT BEND RD SUITE 101
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City | CORDOVA
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State | TN
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Zip | 38018-7279
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Country | US
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Telephone | 901-757-1531
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Fax | 901-756-2778
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JAMES ZACHARY
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Credential |
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Telephone | 901-757-1531
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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