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General NPI Number Information
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NPI Number | 1679715775
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Entity Type | Organization
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Legal Business Name | WOMENS HEALTH SERVICES CHATTANOOGA PC
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Dates
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Enumeration Date | 04/03/2009
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Last Update Date | 10/03/2011
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Provider Practice Location Address
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Address Line | 7490 ZIEGLER RD
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City | CHATTANOOGA
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State | TN
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Zip | 37421-3156
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Country | US
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Telephone | 423-648-6020
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Fax | 423-648-6025
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Provider Business Mailing Address
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Address Line | PO BOX 21709
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City | CHATTANOOGA
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State | TN
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Zip | 37424-0709
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Country | US
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Telephone | 423-648-6020
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Fax | 423-648-6025
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CORINA COOPER
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Credential |
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Telephone | 423-648-6020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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