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General NPI Number Information
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NPI Number | 1073102158
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Entity Type | Individual
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Provider Name | MRS. PATRICIA KAYE
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Gender | Female
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Dates
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Enumeration Date | 01/13/2021
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 17 COURTHOUSE SQ
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City | JASPER
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State | TN
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Zip | 37347-3531
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Country | US
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Telephone | 423-942-5636
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Fax |
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Provider Business Mailing Address
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Address Line | 4062 HIXSON PIKE
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City | CHATTANOOGA
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State | TN
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Zip | 37415-3110
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 41118
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License Number State | TN
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