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General NPI Number Information
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NPI Number | 1861122640
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Entity Type | Individual
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Provider Name | CLARA SAWYER GERGES
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Gender | Female
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Dates
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Enumeration Date | 06/14/2022
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Last Update Date | 01/12/2025
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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 | 37403-2163
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Country | US
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Telephone | 423-778-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 5365 RENEAU WAY
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City | CHATTANOOGA
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State | TN
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Zip | 37412-1485
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Country | US
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Telephone | 901-485-6783
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | GAA-NP000871
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 32504
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License Number State | TN
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