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General NPI Number Information
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NPI Number | 1710140124
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Entity Type | Individual
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Provider Name | JESSICA HAMMETT GATLIFF MD
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Gender | Female
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Dates
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Enumeration Date | 07/07/2008
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 1930 ALCOA HWY STE 235
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City | KNOXVILLE
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State | TN
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Zip | 37920-1510
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Country | US
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Telephone | 865-305-5940
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Fax |
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Provider Business Mailing Address
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Address Line | 1930 ALCOA HWY STE 235
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City | KNOXVILLE
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State | TN
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Zip | 37920-1510
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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 | 2088F0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
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License Number | MD37999
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 2088F0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
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License Number | 077654
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License Number State | GA
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