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General NPI Number Information
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NPI Number | 1275161200
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Entity Type | Organization
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Legal Business Name | MCCLAIN PROPERTIES, LLC
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Dates
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Enumeration Date | 03/27/2020
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Last Update Date | 03/27/2020
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Provider Practice Location Address
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Address Line | 1320 BELLSHIRE TERRACE DR
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City | NASHVILLE
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State | TN
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Zip | 37207-1734
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Country | US
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Telephone | 615-750-5259
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Fax | 615-712-8383
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Provider Business Mailing Address
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Address Line | 332 CEDARVIEW DR
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City | NASHVILLE
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State | TN
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Zip | 37211-6623
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Country | US
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Telephone | 615-500-1049
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Fax | 615-712-8383
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Authorized Official
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Title or Position | OWNER
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Name | DIONNE MCCLAIN-SMITH
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Credential | RDH
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Telephone | 615-500-1049
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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