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General NPI Number Information
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NPI Number | 1689920456
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Entity Type | Individual
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Provider Name | LINDA V CALLAHAN RD, LDN
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Gender | Female
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Dates
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Enumeration Date | 07/31/2012
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Last Update Date | 07/18/2016
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Provider Practice Location Address
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Address Line | 299 POST OAK RD
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City | RINGGOLD
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State | GA
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Zip | 30736-3526
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Country | US
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Telephone | 706-861-4119
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8974
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City | CHATTANOOGA
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State | TN
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Zip | 37414-0974
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC/MHSP 2178
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | LDN 209
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | LD 206
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License Number State | GA
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