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General NPI Number Information
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NPI Number | 1851220990
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Entity Type | Organization
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Legal Business Name | EN GEDI INTEGRATED CARE SERVICES PLLC
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Dates
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Enumeration Date | 05/15/2026
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Last Update Date | 05/15/2026
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Provider Practice Location Address
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Address Line | 110 SOMERVILLE AVE STE 266
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City | CHATTANOOGA
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State | TN
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Zip | 37405-3347
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Country | US
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Telephone | 423-544-7145
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Fax |
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Provider Business Mailing Address
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Address Line | 110 SOMERVILLE AVE STE 266
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City | CHATTANOOGA
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State | TN
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Zip | 37405-3347
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Country | US
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Telephone | 423-544-7145
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | DR. RACHEL TOLLIVER
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Credential | DNP, APRN, PMHNP-BC
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Telephone | 423-544-7145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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