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General NPI Number Information
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NPI Number | 1932725611
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Entity Type | Organization
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Legal Business Name | SHELBY COUNTY HEALTH CARE CORPORATION
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Dates
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Enumeration Date | 06/18/2020
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Last Update Date | 06/18/2020
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Provider Practice Location Address
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Address Line | 1588 UNION AVE
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City | MEMPHIS
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State | TN
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Zip | 38104-3729
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Country | US
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Telephone | 901-545-7847
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Fax |
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Provider Business Mailing 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 | 38103-2807
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Country | US
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Telephone | 901-545-7847
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Fax | 901-545-7557
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Authorized Official
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Title or Position | EVP AND CFO
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Name | MR. JAMES RICHARD WAGERS JR.
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Credential |
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Telephone | 901-545-7676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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