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General NPI Number Information
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NPI Number | 1346101284
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Entity Type | Individual
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Provider Name | CHARLES MCDONALD
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Gender | Male
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Dates
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Enumeration Date | 11/20/2025
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 5751 OLD HICKORY BLVD STE 203
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City | HERMITAGE
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State | TN
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Zip | 37076-2929
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Country | US
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Telephone | 615-784-3264
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Fax |
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Provider Business Mailing Address
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Address Line | 124 N 7TH ST
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City | NASHVILLE
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State | TN
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Zip | 37206-4004
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Country | US
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Telephone | 615-784-3264
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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