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General NPI Number Information
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NPI Number | 1659478105
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Entity Type | Individual
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Provider Name | ROBERT CARAWAY HENDON III LCSW
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Gender | Male
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Dates
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Enumeration Date | 09/19/2006
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 6110 SHALLOWFORD RD
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City | CHATTANOOGA
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State | TN
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Zip | 37421
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Country | US
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Telephone | 800-632-6074
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Fax | 866-341-7509
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Provider Business Mailing Address
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Address Line | 5000 HILLSBORO PIKE APT A1
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City | NASHVILLE
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State | TN
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Zip | 37215-3754
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Country | US
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Telephone | 629-292-8624
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0000004206
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License Number State | TN
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