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General NPI Number Information
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NPI Number | 1821883810
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Entity Type | Individual
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Provider Name | MATTHEW ALAN MIDDLETON PHARMD
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Gender | Male
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Dates
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Enumeration Date | 04/11/2025
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 262 DANNY THOMAS PL
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City | MEMPHIS
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State | TN
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Zip | 38105-3678
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Country | US
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Telephone | 866-278-5833
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Fax |
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Provider Business Mailing Address
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Address Line | 276 MARY ANN DR
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City | MEMPHIS
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State | TN
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Zip | 38117-2808
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Country | US
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Telephone | 601-415-2420
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 33177
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License Number State | NC
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