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General NPI Number Information
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NPI Number | 1992850408
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Entity Type | Individual
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Provider Name | KIMBERLEE CAROLINE BERRY-SAWYER PHD
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Gender | Female
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 09/08/2020
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Provider Practice Location Address
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Address Line | 3209 OZARK CIR
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City | CHATTANOOGA
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State | TN
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Zip | 37415-5107
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Country | US
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Telephone | 423-243-6039
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4362
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City | CHATTANOOGA
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State | TN
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Zip | 37405-0362
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Country | US
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Telephone | 423-243-6039
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | P0000002607
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2607
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License Number State | TN
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