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General NPI Number Information
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NPI Number | 1982656484
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Entity Type | Individual
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Provider Name | ALAN D EISENBERG M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 08/10/2016
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Provider Practice Location Address
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Address Line | 7600 WOLF RIVER BLVD STE 200
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City | GERMANTOWN
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State | TN
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Zip | 38138-1784
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Country | US
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Telephone | 901-747-1000
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Fax | 901-383-8985
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Provider Business Mailing Address
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Address Line | PO BOX 5083
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City | MEMPHIS
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State | TN
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Zip | 38101-5083
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Country | US
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Telephone | 877-448-8679
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Fax | 901-383-8985
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 21521
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License Number State | TN
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