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General NPI Number Information
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NPI Number | 1952749483
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Entity Type | Organization
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Legal Business Name | OBGYN CONSULTANTS OF MEMPHIS
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Dates
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Enumeration Date | 06/06/2013
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Last Update Date | 01/18/2025
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Provider Practice Location Address
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Address Line | 6027 WALNUT GROVE RD STE 216
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City | MEMPHIS
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State | TN
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Zip | 38120-2127
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Country | US
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Telephone | 901-274-9717
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Fax | 901-684-2008
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Provider Business Mailing Address
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Address Line | 9891 LEGENDS DR
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City | GERMANTOWN
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State | TN
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Zip | 38139-6978
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Country | US
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Telephone | 901-274-9717
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Fax | 901-684-2008
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KINGSLEY OGONNA ORAEDU
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Credential | M.D.
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Telephone | 901-274-9717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD0000031582
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License Number State | TN
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