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General NPI Number Information
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NPI Number | 1790706968
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Entity Type | Organization
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Legal Business Name | ROBERT TODD MCCLURE MDPC
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 300 STEAM PLANT RD STE 150
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City | GALLATIN
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State | TN
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Zip | 37066-3032
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Country | US
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Telephone | 615-451-6180
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Fax |
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Provider Business Mailing Address
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Address Line | 1279 TWELVE STONES XING
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City | GOODLETTSVILLE
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State | TN
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Zip | 37072-3346
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Country | US
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Telephone | 615-855-0764
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT TODD MCCLURE
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Credential | M.D.
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Telephone | 615-451-6180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0203X
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Taxonomy Name | Therapeutic Radiology Physician
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License Number | MD32175
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License Number State | TN
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