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General NPI Number Information
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NPI Number | 1114318045
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Entity Type | Organization
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Legal Business Name | ERLANGER BARONESS
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Dates
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Enumeration Date | 02/13/2015
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Last Update Date | 04/15/2015
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Provider Practice Location Address
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Address Line | 975 E 3RD ST
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City | CHATTANOOGA
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State | TN
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Zip | 37403-2147
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Country | US
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Telephone | 423-778-7956
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Fax |
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Provider Business Mailing Address
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Address Line | 975 E 3RD ST
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City | CHATTANOOGA
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State | TN
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Zip | 37403-2147
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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 | FAMILY NURSE PRACTITIONER
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Name | HADLEIGH STONE
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Credential | FNP-C
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Telephone | 423-778-7956
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NW0100X
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Taxonomy Name | Women's Hospital
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License Number | 169335
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License Number State | TN
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