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General NPI Number Information
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NPI Number | 1386686913
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Entity Type | Organization
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Legal Business Name | LOOKOUT VALLEY MEDICAL CENTER, LLC
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 08/28/2007
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Provider Practice Location Address
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Address Line | 3309 CUMMINGS HWY SUITE A
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City | CHATTANOOGA
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State | TN
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Zip | 37419-2360
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Country | US
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Telephone | 423-648-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 3309 CUMMINGS HWY SUITE A
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City | CHATTANOOGA
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State | TN
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Zip | 37419-2360
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Country | US
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Telephone | 423-648-4800
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Fax |
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Authorized Official
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Title or Position | VP
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Name | CHUCK LOCKE
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Credential |
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Telephone | 423-648-4800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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