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General NPI Number Information
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NPI Number | 1205371762
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Entity Type | Organization
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Legal Business Name | WCJ MEDICAL PLLC
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Dates
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Enumeration Date | 12/19/2016
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Last Update Date | 12/19/2016
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Provider Practice Location Address
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Address Line | 1840 MEDICAL CENTER PKWY STE. 404
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City | MURFREESBORO
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State | TN
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Zip | 37129-3199
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Country | US
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Telephone | 615-396-5003
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Fax | 615-396-5283
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Provider Business Mailing Address
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Address Line | PO BOX 681884
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City | FRANKLIN
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State | TN
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Zip | 37068-1884
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Country | US
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Telephone | 615-396-5003
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Fax | 615-396-5283
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Authorized Official
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Title or Position | OWNER/MEDICAL DOCTOR
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Name | WARREN F CLAYTON
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Credential | MD
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Telephone | 216-269-3095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 43469
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License Number State | TN
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