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General NPI Number Information
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NPI Number | 1477811784
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Entity Type | Individual
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Provider Name | SHEILA REGINA HUTCHENS FNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/25/2012
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 725 GLENWOOD DR STE E680
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City | CHATTANOOGA
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State | TN
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Zip | 37404-1176
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Country | US
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Telephone | 423-206-4140
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 80426
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City | CHATTANOOGA
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State | TN
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Zip | 37414-7426
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Country | US
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Telephone | 423-495-3671
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 20359
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN0000016630
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License Number State | TN
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