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General NPI Number Information
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NPI Number | 1700443470
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Entity Type | Organization
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Legal Business Name | SCENIC CITY WELLNESS
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Dates
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Enumeration Date | 05/28/2019
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Last Update Date | 05/28/2020
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Provider Practice Location Address
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Address Line | 105 LEE PARKWAY DR STE A
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City | CHATTANOOGA
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State | TN
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Zip | 37421-6708
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Country | US
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Telephone | 423-643-8000
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Fax | 423-643-8100
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Provider Business Mailing Address
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Address Line | PO BOX 25164
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City | CHATTANOOGA
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State | TN
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Zip | 37422-5164
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Country | US
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Telephone | 423-643-8000
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Fax | 423-643-8100
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MICHALLE MORRIS
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Credential | NP
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Telephone | 423-255-4506
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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