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General NPI Number Information
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NPI Number | 1558717975
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Entity Type | Individual
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Provider Name | CHELSEA RYAN D.O.
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Gender | Female
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Dates
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Enumeration Date | 05/05/2016
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Last Update Date | 02/22/2020
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Provider Practice Location Address
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Address Line | 1238 TAFT HWY STE 170
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City | SIGNAL MOUNTAIN
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State | TN
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Zip | 37377-3295
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Country | US
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Telephone | 423-886-2004
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Fax | 423-886-7803
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Provider Business Mailing Address
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Address Line | 1949 GUNBARREL RD STE 206
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City | CHATTANOOGA
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State | TN
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Zip | 37421-7133
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Country | US
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Telephone | 423-495-4349
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Fax | 423-495-4934
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 3700
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License Number State | TN
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