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General NPI Number Information
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NPI Number | 1912817248
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Entity Type | Organization
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Legal Business Name | MEMPHIS RESPIRATORY CLINIC, PLLC
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Dates
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Enumeration Date | 09/09/2026
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Last Update Date | 09/09/2026
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Provider Practice Location Address
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Address Line | 1669 KIRBY PWKY SUITE 110
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City | MEMPHIS
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State | TN
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Zip | 38120
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Country | US
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Telephone | 901-316-9888
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Fax | 901-844-1439
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Provider Business Mailing Address
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Address Line | PO BOX 770988
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City | MEMPHIS
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State | TN
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Zip | 38177-0988
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Country | US
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Telephone | 901-316-9888
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Fax | 901-844-1439
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Authorized Official
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Title or Position | OWNER
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Name | DR. KHAWAJA M MUDDASSIR
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Credential | MD
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Telephone | 901-316-9888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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