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General NPI Number Information
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NPI Number | 1649332859
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Entity Type | Individual
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Provider Name | JOSEPH SIMMONS BIRD JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 03/21/2019
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Provider Practice Location Address
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Address Line | 7407 ZIEGLER ROAD
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City | CHATTANOOGA
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State | TN
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Zip | 37421-3157
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Country | US
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Telephone | 423-899-0500
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Fax | 423-899-2411
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Provider Business Mailing Address
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Address Line | P.O. BOX 21867
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City | CHATTANOOGA
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State | TN
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Zip | 37424-0867
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Country | US
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Telephone | 423-899-0500
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Fax | 423-899-2411
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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 | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | MD021612
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License Number State | TN
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