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General NPI Number Information
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NPI Number | 1053959783
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Entity Type | Individual
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Provider Name | JILL ROBINSON DANAHY NP
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Gender | Female
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Dates
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Enumeration Date | 12/12/2019
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 6102 SHALLOWFORD RD STE 104
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City | CHATTANOOGA
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State | TN
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Zip | 37421-1684
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Country | US
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Telephone | 423-206-9214
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Fax | 423-717-5569
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Provider Business Mailing Address
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Address Line | 6102 SHALLOWFORD RD STE 104
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City | CHATTANOOGA
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State | TN
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Zip | 37421-1684
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Country | US
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Telephone | 423-206-9214
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Fax | 423-717-5569
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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 | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number | RN081737
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 37865
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | RN081737
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License Number State | GA
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