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General NPI Number Information
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NPI Number | 1801568340
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Entity Type | Individual
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Provider Name | ABIGAIL PAYTON WILLINGHAM CRNA
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Gender | Female
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Dates
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Enumeration Date | 10/04/2021
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 975 E 3RD ST
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City | CHATTANOOGA
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State | TN
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Zip | 37403-2173
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Country | US
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Telephone | 423-602-8400
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2930
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City | INDIANAPOLIS
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State | IN
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Zip | 46206-2930
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Country | US
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Telephone | 423-602-8400
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 235169
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 38275
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License Number State | TN
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