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General NPI Number Information
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NPI Number | 1104293828
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Entity Type | Individual
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Provider Name | KATHERINE MCCAHILL CRNA
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Gender | Female
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Dates
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Enumeration Date | 08/28/2015
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Last Update Date | 12/01/2015
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Provider Practice Location Address
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Address Line | 2341 MCCALLIE AVE SUITE 402
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City | CHATTANOOGA
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State | TN
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Zip | 37404-3239
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Country | US
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Telephone | 423-648-2720
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Fax |
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Provider Business Mailing Address
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Address Line | 330 W SUNSET RD
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City | LOOKOUT MOUNTAIN
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State | TN
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Zip | 37350-1325
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Country | US
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Telephone | 423-488-4495
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 20465
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License Number State | TN
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