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General NPI Number Information
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NPI Number | 1588678510
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Entity Type | Individual
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Provider Name | PAMELA KAY HIRST N.P.
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Gender | Female
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7333 LEE HWY STE C
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City | CHATTANOOGA
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State | TN
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Zip | 37421-8001
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Country | US
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Telephone | 423-499-5655
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Fax | 423-499-8085
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Provider Business Mailing Address
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Address Line | 318 SHIRLEY LOOP
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City | WHITWELL
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State | TN
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Zip | 37397-5938
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Country | US
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Telephone | 423-658-9938
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Fax | 423-837-5412
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 6157
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License Number State | TN
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