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General NPI Number Information
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NPI Number | 1538968235
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Entity Type | Individual
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Provider Name | RONALD HERMAN III
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Gender | Male
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 100 MOCCASIN BEND RD
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City | CHATTANOOGA
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State | TN
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Zip | 37405-4415
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Country | US
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Telephone | 423-265-2271
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Fax |
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Provider Business Mailing Address
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Address Line | 782 RIVERFRONT PKWY APT 413
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City | CHATTANOOGA
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State | TN
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Zip | 37402-1629
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Country | US
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Telephone | 423-322-9441
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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 | 276568
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 38554
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License Number State | TN
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