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General NPI Number Information
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NPI Number | 1063814515
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Entity Type | Organization
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Legal Business Name | MCALLISTER PERSONAL CARE CONSULTANTS
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Dates
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Enumeration Date | 09/16/2014
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Last Update Date | 09/16/2014
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Provider Practice Location Address
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Address Line | 419 N. MARKET STREET
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City | CHATTANOOGA
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State | TN
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Zip | 37405
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Country | US
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Telephone | 423-240-1469
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 412
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City | LOOKOUT MOUNTAIN
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State | TN
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Zip | 37350
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Country | US
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Telephone | 423-240-1469
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | ERIC BARKLEY MCALLISTER
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Credential |
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Telephone | 423-240-1469
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1000000015057
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License Number State | TN
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