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General NPI Number Information
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NPI Number | 1427170992
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Entity Type | Individual
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Provider Name | CORINNA LYNN STITT PTA
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Gender | Female
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 12/28/2018
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Provider Practice Location Address
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Address Line | 1609 N COALTER ST
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City | STAUNTON
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State | VA
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Zip | 24401-2552
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Country | US
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Telephone | 540-213-1320
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Fax | 540-213-1323
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Provider Business Mailing Address
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Address Line | 6397 LEE HWY STE 300
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City | CHATTANOOGA
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State | TN
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Zip | 37421-4915
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Country | US
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Telephone | 423-238-7217
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Fax | 423-238-3473
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA20313
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | TE001208L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2306605041
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License Number State | VA
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