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General NPI Number Information
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NPI Number | 1821457862
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Entity Type | Organization
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Legal Business Name | COMMUNITY INTEGRATED HEALTHCARE
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Dates
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Enumeration Date | 02/18/2016
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Last Update Date | 02/18/2016
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Provider Practice Location Address
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Address Line | 5618 BRAINERD RD
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City | CHATTANOOGA
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State | TN
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Zip | 37411-5310
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Country | US
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Telephone | 865-363-1740
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Fax |
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Provider Business Mailing Address
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Address Line | 5618 BRAINERD RD
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City | CHATTANOOGA
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State | TN
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Zip | 37411-5310
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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 | OWNER
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Name | CHRISTI PICCIRILLI
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Credential |
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Telephone | 865-363-1740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LC1500X
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Taxonomy Name | Community Health Nurse Practitioner
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License Number |
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License Number State |
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