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General NPI Number Information
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NPI Number | 1013684760
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Entity Type | Individual
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Provider Name | KATHERINE BENNETT APN
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Gender | Female
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Dates
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Enumeration Date | 08/29/2021
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 7480 ZIEGLER RD STE 150
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City | CHATTANOOGA
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State | TN
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Zip | 37421-4947
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Country | US
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Telephone | 423-933-2001
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Fax |
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Provider Business Mailing Address
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Address Line | 2220 VIOLETTE DR
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City | SODDY DAISY
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State | TN
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Zip | 37379-3570
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Country | US
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Telephone | 423-883-5476
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Fax |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 230792
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 27294
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License Number State | TN
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