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General NPI Number Information
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NPI Number | 1922687821
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Entity Type | Individual
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Provider Name | TESS KOSYCARZ MCKINNEY
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Gender | Female
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Dates
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Enumeration Date | 04/07/2021
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 1067 RIVERFRONT PKWY STE 201
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City | CHATTANOOGA
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State | TN
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Zip | 37402-2222
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Country | US
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Telephone | 423-888-5930
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Fax | 423-634-0103
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Provider Business Mailing Address
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Address Line | 333 MURFREESBORO PIKE
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City | NASHVILLE
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State | TN
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Zip | 37210-2877
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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 |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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