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General NPI Number Information
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NPI Number | 1285635268
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Entity Type | Individual
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Provider Name | KIMBRA L LINGERFELT FNP
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Gender | Female
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Dates
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Enumeration Date | 08/02/2005
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Last Update Date | 05/16/2013
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Provider Practice Location Address
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Address Line | 251 N LYERLY ST SUITE 100
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City | CHATTANOOGA
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State | TN
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Zip | 37404-2728
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Country | US
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Telephone | 423-826-8000
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Fax | 423-826-8005
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Provider Business Mailing Address
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Address Line | 2118 STEIN DR
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City | CHATTANOOGA
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State | TN
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Zip | 37421-1691
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Country | US
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Telephone | 423-648-4900
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Fax | 423-648-1868
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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 | 06423
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License Number State | TN
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