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General NPI Number Information
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NPI Number | 1154569150
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Entity Type | Individual
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Provider Name | CATHERINE R FLYNN D.C
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Gender | Female
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Dates
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Enumeration Date | 01/29/2009
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Last Update Date | 03/29/2011
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Provider Practice Location Address
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Address Line | 802 MOUNTAIN VIEW AVE
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City | MARYVILLE
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State | TN
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Zip | 37803-4822
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Country | US
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Telephone | 865-681-4111
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Fax |
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Provider Business Mailing Address
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Address Line | 802 MOUNTAIN VIEW AVE
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City | MARYVILLE
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State | TN
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Zip | 37803-4822
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Country | US
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Telephone | 865-681-4111
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC0000002303
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License Number State | TN
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