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General NPI Number Information
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NPI Number | 1467784348
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Entity Type | Organization
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Legal Business Name | VOLUNTEER STATE HEALTH PLAN
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Dates
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Enumeration Date | 02/03/2010
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Last Update Date | 02/03/2010
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Provider Practice Location Address
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Address Line | 1 CAMERON HILL CIR
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City | CHATTANOOGA
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State | TN
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Zip | 37402-9815
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Country | US
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Telephone | 423-535-5600
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Fax |
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Provider Business Mailing Address
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Address Line | 1 CAMERON HILL CIR
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City | CHATTANOOGA
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State | TN
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Zip | 37402-9815
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Country | US
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Telephone | 423-535-5600
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CHIEF EXECUTIVE OFFICER
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Name | MRS. SONYA NELSON
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Credential |
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Telephone | 423-535-7767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 302R00000X
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License Number State | TN
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