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NPI 1962669242

NPI 1962669242 : KATELYN RACHELLE DUNKEL APN : CHATTANOOGA, TN

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General NPI Number Information
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    NPI Number           |    1962669242
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    Entity Type          |    Individual 
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    Provider Name        |    KATELYN RACHELLE DUNKEL APN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/22/2008
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    Last Update Date     |    02/05/2009
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Provider Practice Location Address
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    Address Line         |    2121 MORRIS HILL RD 
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    City                 |    CHATTANOOGA
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    State                |    TN
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    Zip                  |    37421-2817
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    Country              |    US
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    Telephone            |    423-903-4436
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2121 MORRIS HILL RD 
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    City                 |    CHATTANOOGA
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    State                |    TN
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    Zip                  |    37421-2817
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    Country              |    US
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    Telephone            |    423-903-4436
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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       |    APN0000013251
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    License Number State |    TN
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