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General NPI Number Information
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NPI Number | 1346986072
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Entity Type | Organization
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Legal Business Name | MCCLINTON & ASSOCIATES LLC
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Dates
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Enumeration Date | 05/06/2022
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 540 CORAL CT APT 2G
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-4341
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Country | US
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Telephone | 757-447-4517
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Fax |
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Provider Business Mailing Address
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Address Line | 540 CORAL CT APT 2G
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-4341
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Country | US
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Telephone | 757-447-4517
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TREMAINE RAEL MCDONALD
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Credential | CCA, CHW
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Telephone | 757-447-4517
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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