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General NPI Number Information
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NPI Number | 1639297807
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Entity Type | Individual
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Provider Name | WENDY J POTTER RN
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Gender | Female
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 921 E 3RD ST
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City | CHATTANOOGA
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State | TN
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Zip | 37403-2102
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Country | US
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Telephone | 423-209-8050
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Fax | 423-209-8052
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Provider Business Mailing Address
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Address Line | 8031 STANDIFER GAP RD
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City | CHATTANOOGA
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State | TN
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Zip | 37421-1221
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Country | US
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Telephone | 423-355-2757
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1-102781
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN171194
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | RN0000129611
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License Number State | TN
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