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General NPI Number Information
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NPI Number | 1679147177
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Entity Type | Individual
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Provider Name | KRISTOFER PARSONS MSN, CRNA, APN
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Gender | Male
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Dates
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Enumeration Date | 05/18/2021
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Last Update Date | 11/08/2021
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Provider Practice Location Address
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Address Line | 979 E 3RD ST STE C235
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City | CHATTANOOGA
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State | TN
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Zip | 37403-3309
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Country | US
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Telephone | 423-602-8400
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Fax |
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Provider Business Mailing Address
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Address Line | 9336 BILL REED RD
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City | OOLTEWAH
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State | TN
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Zip | 37363-9043
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Country | US
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Telephone |
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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 | 0000207389
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 137271
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License Number State | TN
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