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General NPI Number Information
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NPI Number | 1962424234
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Entity Type | Individual
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Provider Name | BRENDA T OGLESBY NP
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Gender | Female
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 02/27/2013
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Provider Practice Location Address
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Address Line | 2525 DESALES AVENUE
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City | CHATTANOOGA
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State | TN
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Zip | 37404
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Country | US
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Telephone | 423-499-5655
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Fax | 423-499-8085
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Provider Business Mailing Address
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Address Line | PO BOX 116638 MEMORIAL HEALTH PARTNERS FOUNDATION
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City | ATLANTA
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State | GA
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Zip | 30368
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Country | US
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Telephone | 423-499-5655
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Fax | 423-499-8085
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APN0000005595
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License Number State | TN
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