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General NPI Number Information
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NPI Number | 1861485146
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Entity Type | Organization
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Legal Business Name | REGIONAL OBSTETRICAL CONSULTANTS PC
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Dates
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Enumeration Date | 08/23/2005
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Last Update Date | 07/22/2015
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Provider Practice Location Address
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Address Line | 902 MCCALLIE AVE
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City | CHATTANOOGA
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State | TN
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Zip | 37403-2724
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Country | US
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Telephone | 423-664-4460
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Fax | 423-678-5675
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Provider Business Mailing Address
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Address Line | 902 MCCALLIE AVE
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City | CHATTANOOGA
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State | TN
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Zip | 37403-2724
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Country | US
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Telephone | 423-664-4460
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Fax | 423-664-4466
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Authorized Official
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Title or Position | CONTROLLER/EXEC ASSIST
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Name | MS. AMANDA HATFIELD
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Credential |
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Telephone | 423-664-4460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine 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 | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number |
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License Number State |
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