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General NPI Number Information
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NPI Number | 1225712748
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Entity Type | Individual
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Provider Name | ELIJAH LEVI ATKINSON APRN
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Gender | Male
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Dates
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Enumeration Date | 06/14/2023
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 2290 OGLETREE AVE
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City | CHATTANOOGA
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State | TN
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Zip | 37421-8816
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Country | US
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Telephone | 913-704-9573
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Fax |
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Provider Business Mailing Address
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Address Line | 1015 AMELIA CT
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City | EAST RIDGE
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State | TN
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Zip | 37412-2477
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Country | US
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Telephone | 913-704-9574
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 34069
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 5022877
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License Number State | NC
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