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General NPI Number Information
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NPI Number | 1720635790
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Entity Type | Organization
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Legal Business Name | OSH MI PHYSICIANS GROUP, PC
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Dates
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Enumeration Date | 08/23/2019
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 3360 N WATKINS ST
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City | MEMPHIS
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State | TN
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Zip | 38127-6432
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Country | US
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Telephone | 901-401-7150
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Fax | 901-347-1285
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Provider Business Mailing Address
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Address Line | PO BOX 746725
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City | ATLANTA
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State | GA
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Zip | 30374-6725
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Country | US
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Telephone | 773-352-1515
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Fax | 312-929-0373
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Authorized Official
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Title or Position | CMO
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Name | DR. TERRANCE MORTON
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Credential | MD
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Telephone | 740-607-4835
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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