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General NPI Number Information
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NPI Number | 1962822981
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Entity Type | Organization
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Legal Business Name | DAVID C. REDD, MD, P.C.
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Dates
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Enumeration Date | 04/17/2014
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Last Update Date | 04/17/2014
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Provider Practice Location Address
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Address Line | 2205 MCCALLIE AVE STE 507
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City | CHATTANOOGA
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State | TN
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Zip | 37404-3334
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Country | US
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Telephone | 423-622-3191
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Fax | 423-622-3192
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Provider Business Mailing Address
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Address Line | 2205 MCCALLIE AVE STE 507
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City | CHATTANOOGA
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State | TN
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Zip | 37404-3334
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Country | US
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Telephone | 423-622-3191
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Fax | 423-622-3192
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Authorized Official
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Title or Position | OFFICE MANAGAER
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Name | MRS. CANDY E REDD
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Credential |
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Telephone | 423-622-3191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | C70958
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License Number State | TN
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