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General NPI Number Information
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NPI Number | 1801819818
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Entity Type | Organization
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Legal Business Name | METHODIST HEALTHCARE - MEMPHIS HOSPITALS
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 05/01/2025
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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
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Country | US
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Telephone | 901-516-8168
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Fax | 901-516-8397
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Provider Business Mailing 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 | 901-516-8168
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Fax | 901-516-8397
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Authorized Official
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Title or Position | VP OF FINANCE/ REIMBURSEMENT
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Name | LARRY FOGARTY
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Credential |
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Telephone | 901-478-1057
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | 1777
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 1777
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License Number State | TN
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