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General NPI Number Information
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NPI Number | 1336672708
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Entity Type | Organization
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Legal Business Name | CHATTANOOGA REGIONAL HEALTH DEPT.
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Dates
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Enumeration Date | 04/04/2017
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Last Update Date | 04/04/2017
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Provider Practice Location Address
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Address Line | 1301 RIVERFRONT PKWY SUITE 209
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City | CHATTANOOGA
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State | TN
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Zip | 37402-2233
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Country | US
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Telephone | 423-634-1942
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Fax | 423-634-1003
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Provider Business Mailing Address
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Address Line | 1301 RIVERFRONT PKWY SUITE 209
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City | CHATTANOOGA
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State | TN
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Zip | 37402-2233
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Country | US
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Telephone | 423-634-1942
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Fax | 423-634-1003
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Authorized Official
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Title or Position | BCS RN COORDINATOR
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Name | MRS. MELISSA GAIL SMITH
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Credential | RN
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Telephone | 423-634-1942
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 1471725
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License Number State | TN
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