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General NPI Number Information
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NPI Number | 1891515995
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Entity Type | Organization
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Legal Business Name | THE UNIVERSITY OF MEMPHIS
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Dates
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Enumeration Date | 10/14/2024
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 4055 N PARK LOOP STE 1500
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City | MEMPHIS
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State | TN
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Zip | 38152-4220
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Country | US
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Telephone | 901-678-2003
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Fax |
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Provider Business Mailing Address
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Address Line | 4055 N PARK LOOP STE 2502
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City | MEMPHIS
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State | TN
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Zip | 38152-4220
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Country | US
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Telephone | 901-678-2003
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Fax |
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Authorized Official
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Title or Position | ASSISTANT DEAN
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Name | DR. BRADLEY R HARRELL
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Credential | DNP, APRN, ACNP-BC
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Telephone | 901-678-2003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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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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Taxonomy #7
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Taxonomy Code | 261QR1100X
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Taxonomy Name | Research Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QS1000X
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Taxonomy Name | Student Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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