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General NPI Number Information
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NPI Number | 1568919538
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Entity Type | Organization
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Legal Business Name | YOUNG MEN'S CHRISTIAN ASSOCIATION METROPOLITAN CHATTANOOGA
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Dates
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Enumeration Date | 09/07/2016
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Last Update Date | 09/07/2016
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Provider Practice Location Address
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Address Line | 301 W 6TH ST
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City | CHATTANOOGA
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State | TN
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Zip | 37402-1108
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Country | US
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Telephone | 423-265-8834
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Fax | 423-265-4417
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Provider Business Mailing Address
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Address Line | 301 W 6TH ST
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City | CHATTANOOGA
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State | TN
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Zip | 37402-1108
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Country | US
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Telephone | 423-265-8834
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Fax | 423-265-4417
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MRS. JANET SUE DUNN
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Credential |
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Telephone | 423-265-8834
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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