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General NPI Number Information
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NPI Number | 1780274985
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Entity Type | Organization
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Legal Business Name | BY FAITH PRIMARY CARE HOUSE CALLS, LLC
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Dates
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Enumeration Date | 01/21/2021
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 6005 PARK AVE LOEWENBURG BLDG. STE. 306
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City | MEMPHIS
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State | TN
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Zip | 38119-3811
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Country | US
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Telephone | 901-338-6951
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Fax | 901-425-9619
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Provider Business Mailing Address
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Address Line | 6005 PARK AVE LOEWENBURG BLDG. STE. 306
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City | MEMPHIS
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State | TN
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Zip | 38119-3811
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Country | US
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Telephone | 901-338-6951
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Fax | 901-425-9619
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Authorized Official
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Title or Position | OWNER
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Name | ANGELA P OWENS
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Credential |
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Telephone | 901-351-2176
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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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