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General NPI Number Information
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NPI Number | 1851692420
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Entity Type | Individual
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Provider Name | ALBERT NDZENGUE M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/12/2010
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Last Update Date | 03/30/2023
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Provider Practice Location Address
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Address Line | 877 JEFFERSON AVE
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City | MEMPHIS
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State | TN
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Zip | 38103
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Country | US
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Telephone | 901-545-7100
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Fax |
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Provider Business Mailing Address
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Address Line | 2032 WELLESLEY PINE CV
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City | GERMANTOWN
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State | TN
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Zip | 38138
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Country | US
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Telephone |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 266212
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 52436
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 24459
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License Number State | MS
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 266212
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 52436
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License Number State | TN
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Taxonomy #6
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 266212
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License Number State | NY
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Taxonomy #7
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 52436
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License Number State | TN
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