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General NPI Number Information
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NPI Number | 1922349240
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Entity Type | Organization
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Legal Business Name | NEUROPATHY CENTER OF CHATTANOOGA, PC
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Dates
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Enumeration Date | 03/12/2013
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Last Update Date | 03/12/2013
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Provider Practice Location Address
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Address Line | 5620 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 | 423-510-6900
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Fax | 423-826-4780
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Provider Business Mailing Address
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Address Line | PO BOX 52308
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City | KNOXVILLE
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State | TN
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Zip | 37950-2308
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Country | US
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Telephone | 423-510-6900
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Fax | 423-826-4780
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Authorized Official
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Title or Position | PRESIDENT
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Name | ARTHUR DOUGLAS LENSGRAF
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Credential |
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Telephone | 423-510-6900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 49391
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 36478
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 18742
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1053
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 11780
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License Number State | TN
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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