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General NPI Number Information
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NPI Number | 1437240504
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Entity Type | Individual
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Provider Name | LORNA MAY BIRCH M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 425 CUMBERLAND STREET, SUITE 110
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City | CHATTANOOGA
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State | TN
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Zip | 37404
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Country | US
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Telephone | 423-698-0802
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Fax |
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Provider Business Mailing Address
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Address Line | 7720 TRANQUILITY DRIVE
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City | OOLTEWAH
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State | TN
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Zip | 37363
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Country | US
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Telephone | 423-238-7723
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 39317
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License Number State | TN
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