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General NPI Number Information
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NPI Number | 1922204585
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Entity Type | Organization
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Legal Business Name | COMPLETE HEALTHCARE CENTER
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Dates
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Enumeration Date | 06/21/2007
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Last Update Date | 04/01/2008
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Provider Practice Location Address
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Address Line | 1750 MADISON AVE SUITE 401
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City | MEMPHIS
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State | TN
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Zip | 38104-6492
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Country | US
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Telephone | 901-276-2357
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Fax | 901-276-2359
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Provider Business Mailing Address
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Address Line | 1750 MADISON AVE SUITE 401
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City | MEMPHIS
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State | TN
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Zip | 38104-6492
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Country | US
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Telephone | 901-276-2357
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Fax | 901-276-2359
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ALMA Y FOSTER
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Credential | CMOM
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Telephone | 901-276-2357
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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