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General NPI Number Information
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NPI Number | 1821702713
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Entity Type | Organization
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Legal Business Name | METELECARE
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Dates
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Enumeration Date | 01/06/2023
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 270 TRACE COLONY PARK DR STE B
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City | RIDGELAND
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State | MS
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Zip | 39157-8810
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Country | US
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Telephone | 601-208-0678
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Fax | 219-300-5911
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Provider Business Mailing Address
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Address Line | 1910 MADISON AVE # 2638
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City | MEMPHIS
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State | TN
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Zip | 38104-2620
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Country | US
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Telephone | 601-208-0678
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Fax | 219-300-5911
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Authorized Official
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Title or Position | FOUNDER
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Name | MONYETTA EVERETT
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Credential |
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Telephone | 601-410-1695
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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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