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General NPI Number Information
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NPI Number | 1588861421
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Entity Type | Individual
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Provider Name | STACY LYNN MCKINNEY PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/02/2007
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Last Update Date | 11/01/2017
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Provider Practice Location Address
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Address Line | 1100 E. THIRD STREET SUITE G-102
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City | CHATTANOOGA
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State | TN
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Zip | 37403-2147
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Country | US
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Telephone | 423-778-8988
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Fax | 423-778-8982
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Provider Business Mailing Address
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Address Line | 975 E. THIRD STREET ATTN: PROVIDER ENROLLMENT
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City | CHATTANOOGA
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State | TN
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Zip | 37403-2147
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Country | US
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Telephone | 423-778-8988
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Fax | 423-778-8982
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 4247
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 1142
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License Number State | TN
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