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General NPI Number Information
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NPI Number | 1972637411
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Entity Type | Organization
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Legal Business Name | UNIV. TN HEALTH SCIENCE CENTER
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 910 MADISON AVE STE 922
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City | MEMPHIS
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State | TN
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Zip | 38103-3483
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Country | US
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Telephone | 901-448-5630
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Fax | 901-448-7255
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Provider Business Mailing Address
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Address Line | 910 MADISON AVE STE 922
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City | MEMPHIS
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State | TN
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Zip | 38103-3483
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Country | US
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Telephone | 901-448-5630
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Fax | 901-448-7255
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Authorized Official
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Title or Position | ADMINISTRATIVE AIDE
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Name | CAROLYN IVY
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Credential |
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Telephone | 901-448-6236
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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