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General NPI Number Information
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NPI Number | 1134513484
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Entity Type | Individual
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Provider Name | ERIN HARTSFIELD NEELY PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/25/2015
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Last Update Date | 03/09/2020
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Provider Practice Location Address
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Address Line | 1010 E 3RD ST STE 202
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City | CHATTANOOGA
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State | TN
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Zip | 37403-2174
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Country | US
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Telephone | 423-265-2233
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Fax | 423-756-8265
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Provider Business Mailing Address
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Address Line | 919 GESWEIN CT
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City | CHATTANOOGA
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State | TN
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Zip | 37412-1755
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Country | US
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Telephone | 334-797-1685
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 0010-05658
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License Number State | NC
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