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General NPI Number Information
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NPI Number | 1407317563
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Entity Type | Individual
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Provider Name | ANDREA MCNALLEY GERWIN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 03/29/2019
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Last Update Date | 03/29/2019
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Provider Practice Location Address
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Address Line | 975 E 3RD ST
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City | CHATTANOOGA
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State | TN
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Zip | 37403-2147
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Country | US
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Telephone | 423-778-2190
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Fax |
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Provider Business Mailing Address
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Address Line | 300 E BROW RD
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City | LOOKOUT MOUNTAIN
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State | TN
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Zip | 37350-1212
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Country | US
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Telephone | 205-492-5453
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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 | 1835C0205X
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Taxonomy Name | Critical Care Pharmacist
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License Number | 0000034520
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 1835N1003X
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Taxonomy Name | Nutrition Support Pharmacist
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License Number | 0000034520
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 0000034520
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 1835P0200X
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Taxonomy Name | Pediatric Pharmacist
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License Number | 0000034520
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License Number State | TN
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