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General NPI Number Information
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NPI Number | 1457368524
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Entity Type | Organization
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Legal Business Name | CHATTANOOGA CARES, INC.
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 03/08/2021
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Provider Practice Location Address
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Address Line | 1000 EAST THIRD STREET SUITE 300
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City | CHATTANOOGA
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State | TN
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Zip | 37403-2153
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Country | US
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Telephone | 423-648-9939
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Fax | 423-648-9935
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Provider Business Mailing Address
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Address Line | 1000 EAST THIRD STREET SUITE 300
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City | CHATTANOOGA
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State | TN
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Zip | 37403-2153
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Country | US
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Telephone | 423-648-9939
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Fax | 423-648-9935
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Authorized Official
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Title or Position | MEDICAL BILLING MANAGER
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Name | SHAUNA WOOTEN
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Credential |
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Telephone | 423-648-9915
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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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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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