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General NPI Number Information
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NPI Number | 1184558629
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Entity Type | Individual
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Provider Name | NATHANIEL NATION
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Gender | Male
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Dates
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Enumeration Date | 06/10/2026
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Last Update Date | 06/10/2026
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Provider Practice Location Address
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Address Line | 8703 E BRAINERD RD
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City | CHATTANOOGA
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State | TN
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Zip | 37421-4416
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Country | US
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Telephone | 423-893-7443
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Fax |
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Provider Business Mailing Address
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Address Line | 506 SMITHERMAN RD
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City | RINGGOLD
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State | GA
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Zip | 30736-7331
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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 |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 13181
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License Number State | TN
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