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General NPI Number Information
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NPI Number | 1568971166
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Entity Type | Organization
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Legal Business Name | BERNARD PARHAM MD PLLC
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Dates
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Enumeration Date | 09/26/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3475 BRAINERD RD BLDG B
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City | CHATTANOOGA
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State | TN
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Zip | 37411-3542
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Country | US
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Telephone | 423-800-8337
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Fax | 423-760-8257
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Provider Business Mailing Address
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Address Line | 3475 BRAINERD RD BLDG B
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City | CHATTANOOGA
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State | TN
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Zip | 37411-3542
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Country | US
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Telephone | 423-800-8337
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Fax | 423-760-8257
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Authorized Official
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Title or Position | CEO
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Name | DR. BERNARD LEE PARHAM SR.
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Credential | MD
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Telephone | 423-800-8337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 021556
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License Number State | TN
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