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General NPI Number Information
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NPI Number | 1790956167
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Entity Type | Organization
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Legal Business Name | CENTER FOR INTEGRATIVE MEDICINE, P.C.
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Dates
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Enumeration Date | 03/13/2008
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Last Update Date | 03/13/2008
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Provider Practice Location Address
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Address Line | 1100 E 3RD ST SUITE G-100
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City | CHATTANOOGA
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State | TN
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Zip | 37403-2201
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Country | US
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Telephone | 423-643-2246
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Fax | 423-643-2030
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Provider Business Mailing Address
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Address Line | 1100 E 3RD ST SUITE G-100
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City | CHATTANOOGA
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State | TN
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Zip | 37403-2201
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Country | US
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Telephone | 423-643-2246
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Fax | 423-643-2030
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JEFFREY S JUMP
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Credential | M.D.
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Telephone | 423-643-2000
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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 | MD36510
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD28299
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License Number State | TN
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