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General NPI Number Information
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NPI Number | 1659085751
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Entity Type | Individual
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Provider Name | CHRISTOPHER PAUL MCCLINTOCK
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Gender | Male
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Dates
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Enumeration Date | 01/12/2023
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 212 OVERLOOK CIR STE 108
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City | BRENTWOOD
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State | TN
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Zip | 37027-5396
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Country | US
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Telephone | 615-942-8907
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Fax | 615-942-8946
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Provider Business Mailing Address
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Address Line | 212 OVERLOOK CIR STE 108
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City | BRENTWOOD
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State | TN
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Zip | 37027-5396
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Country | US
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Telephone | 615-942-8907
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Fax | 615-942-8946
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | L000000032203
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License Number State | TN
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