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General NPI Number Information
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NPI Number | 1790100105
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Entity Type | Individual
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Provider Name | STEVE MCCHAREN
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Gender | Male
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Dates
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Enumeration Date | 02/21/2014
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Last Update Date | 02/21/2014
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Provider Practice Location Address
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Address Line | 845 BELL RD #101
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City | ANTIOCH
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State | TN
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Zip | 37013-3172
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Country | US
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Telephone | 615-610-2618
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Fax | 615-610-2651
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Provider Business Mailing Address
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Address Line | PO BOX 626
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City | JOELTON
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State | TN
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Zip | 37080-0626
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Country | US
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Telephone | 615-610-2618
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Fax | 615-610-2651
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | I000000013493
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License Number State | TN
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