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General NPI Number Information
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NPI Number | 1447232038
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Entity Type | Organization
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Legal Business Name | WOMENS HEALTH SERVICES CHATTANOOGA PC
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Dates
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Enumeration Date | 11/18/2005
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Last Update Date | 08/10/2011
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Provider Practice Location Address
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Address Line | 251 N LYERLY ST STE 300
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City | CHATTANOOGA
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State | TN
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Zip | 37404-2743
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Country | US
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Telephone | 423-702-7667
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Fax | 423-702-7668
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Provider Business Mailing Address
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Address Line | 251 N LYERLY ST STE 300
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City | CHATTANOOGA
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State | TN
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Zip | 37404-2743
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Country | US
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Telephone | 423-702-7667
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Fax | 423-702-7668
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Authorized Official
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Title or Position | PHYSICIAN ADMINISTRATOR
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Name | MRS. BESSIE ANN INGRAM NUNALLY
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Credential | MD
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Telephone | 423-702-7667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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