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General NPI Number Information
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NPI Number | 1497646335
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Entity Type | Organization
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Legal Business Name | ERLANGER HEALTH
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Dates
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Enumeration Date | 07/10/2025
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 979 E 3RD ST STE C-120
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City | CHATTANOOGA
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State | TN
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Zip | 37403-2136
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Country | US
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Telephone | 423-778-7253
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Fax |
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Provider Business Mailing Address
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Address Line | 979 E 3RD ST STE C120
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City | CHATTANOOGA
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State | TN
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Zip | 37403-3341
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Country | US
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Telephone | 423-778-6336
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Fax | 423-778-6342
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Authorized Official
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Title or Position | DIRECTOR OF REIMBURSEMENT
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Name | MIKE DALE SHAVER
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Credential |
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Telephone | 423-240-8576
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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