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General NPI Number Information
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NPI Number | 1053732099
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Entity Type | Individual
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Provider Name | NEETA JAVER NP-C
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Gender | Female
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Dates
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Enumeration Date | 12/17/2013
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Last Update Date | 10/07/2015
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Provider Practice Location Address
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Address Line | 5410 LEE AVE
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City | CHATTANOOGA
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State | TN
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Zip | 37410-2219
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Country | US
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Telephone | 423-822-7673
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Fax |
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Provider Business Mailing Address
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Address Line | 2651 KINGSLEY CT
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City | CHATTANOOGA
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State | TN
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Zip | 37421-1883
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Country | US
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Telephone | 423-400-0742
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Fax | 678-840-0099
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN0000017939
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APN0000017939
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License Number State | TN
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