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General NPI Number Information
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NPI Number | 1992965594
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Entity Type | Individual
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Provider Name | KRISTEN LYNN CORRIGAN DMD
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Gender | Female
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Dates
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Enumeration Date | 06/17/2008
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Last Update Date | 07/16/2010
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Provider Practice Location Address
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Address Line | 9203 LEE HWY SUITE 16
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City | OOLTEWAH
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State | TN
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Zip | 37363-4412
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Country | US
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Telephone | 423-238-9653
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Fax | 423-238-5786
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Provider Business Mailing Address
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Address Line | 6860 MANASSAS GAP LANE
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City | HIXSON
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State | TN
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Zip | 37343
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Country | US
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Telephone | 423-238-9653
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Fax | 423-238-5786
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DS8842
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License Number State | TN
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