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General NPI Number Information
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NPI Number | 1770415291
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Entity Type | Individual
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Provider Name | HEATHER CALLAHAN RN
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Gender | Female
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Dates
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Enumeration Date | 06/01/2026
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Last Update Date | 06/01/2026
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Provider Practice Location Address
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Address Line | 1265 UNION AVE
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City | MEMPHIS
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State | TN
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Zip | 38104-3415
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Country | US
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Telephone | 901-516-7600
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Fax |
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Provider Business Mailing Address
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Address Line | 1765 HOLDER RD
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City | GRAND JUNCTION
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State | TN
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Zip | 38039-6435
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Country | US
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Telephone | 901-389-8410
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Fax |
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 220497
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License Number State | TN
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