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General NPI Number Information
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NPI Number | 1174723480
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Entity Type | Organization
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Legal Business Name | PSYCHIATRIC FOUNDATIONS, P.C.
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Dates
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Enumeration Date | 07/24/2007
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Last Update Date | 04/20/2011
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Provider Practice Location Address
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Address Line | 6148 LEE HWY STE 200
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City | CHATTANOOGA
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State | TN
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Zip | 37421-3045
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Country | US
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Telephone | 423-531-4110
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Fax | 423-893-0690
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Provider Business Mailing Address
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Address Line | PO BOX 21548
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City | CHATTANOOGA
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State | TN
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Zip | 37424-0548
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Country | US
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Telephone | 423-531-4110
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Fax | 423-893-0690
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | CHRISTIE JENNINGS
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Credential |
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Telephone | 423-531-4110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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