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General NPI Number Information
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NPI Number | 1598072951
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Entity Type | Individual
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Provider Name | PAULA SUE COFFEY FNP
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Gender | Female
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Dates
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Enumeration Date | 09/07/2010
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Last Update Date | 09/07/2010
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Provider Practice Location Address
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Address Line | 6073 E BRAINERD RD
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City | CHATTANOOGA
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State | TN
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Zip | 37421-3909
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Country | US
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Telephone | 423-648-8008
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Fax |
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Provider Business Mailing Address
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Address Line | 405 PARK RD
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City | LOOKOUT MOUNTAIN
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State | TN
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Zip | 37350-1157
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Country | US
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Telephone | 423-827-6641
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 15171
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License Number State | TN
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