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General NPI Number Information
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NPI Number | 1770510687
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Entity Type | Organization
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Legal Business Name | ARLINGTON MEDICAL CLINIC PC
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 05/21/2008
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Provider Practice Location Address
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Address Line | 11121 HIGHWAY 70 SUITE 101
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City | ARLINGTON
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State | TN
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Zip | 38002-9754
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Country | US
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Telephone | 901-867-0211
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Fax | 901-867-0759
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Provider Business Mailing Address
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Address Line | 11121 HIGHWAY 70 SUITE 101
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City | ARLINGTON
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State | TN
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Zip | 38002-9754
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Country | US
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Telephone | 901-867-0211
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Fax | 901-867-0759
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Authorized Official
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Title or Position | OWNER
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Name | DR. HENRY ENYENIHI
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Credential | MD
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Telephone | 901-867-0211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 29373
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License Number State | TN
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