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General NPI Number Information
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NPI Number | 1821272501
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Entity Type | Organization
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Legal Business Name | METHODIST HEALTHCARE COMMUNITY CARE ASSOCIATES
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Dates
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Enumeration Date | 12/18/2007
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Last Update Date | 02/19/2024
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Provider Practice Location Address
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Address Line | 7235 HACKS CROSS RD
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City | OLIVE BRANCH
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State | MS
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Zip | 38654-4213
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Country | US
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Telephone | 662-893-9800
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Fax | 662-893-9827
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Provider Business Mailing Address
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Address Line | PO BOX 1000 DEPT 38
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City | MEMPHIS
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State | TN
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Zip | 38148-0001
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Country | US
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Telephone | 901-516-1489
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Fax | 901-380-8081
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Authorized Official
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Title or Position | VP & CEO AFFILIATED SERVICES
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Name | EUGENE CASHMAN
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Credential |
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Telephone | 901-516-1434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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