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General NPI Number Information
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NPI Number | 1144439183
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Entity Type | Individual
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Provider Name | KENT L. REDINGTON O.D.
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Gender | Male
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6101 LEE HWY
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City | CHATTANOOGA
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State | TN
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Zip | 37421-2932
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Country | US
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Telephone | 423-954-9626
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Fax |
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Provider Business Mailing Address
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Address Line | 8226 HIGHWAY 156
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City | SOUTH PITTSBURG
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State | TN
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Zip | 37380-7250
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Country | US
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Telephone | 423-718-9829
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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 | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | OD2303
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License Number State | TN
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