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General NPI Number Information
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NPI Number | 1457996720
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Entity Type | Individual
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Provider Name | CARLA ANNE DAHM MSN, APN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/11/2019
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Last Update Date | 01/26/2021
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Provider Practice Location Address
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Address Line | 1805 INGLESIDE AVE
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City | ATHENS
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State | TN
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Zip | 37303-2105
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Country | US
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Telephone | 423-745-8802
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Fax |
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Provider Business Mailing Address
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Address Line | 3925 ADKISSON DR NW APT 3612
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City | CLEVELAND
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State | TN
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Zip | 37312-3097
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Country | US
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Telephone | 423-464-5405
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 26697
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License Number State | TN
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