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General NPI Number Information
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NPI Number | 1801748249
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Entity Type | Individual
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Provider Name | NATHAN MCCLINTOCK LCSW
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Gender | Male
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Dates
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Enumeration Date | 02/10/2026
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 5151 HARRY HINES BLVD
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City | DALLAS
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State | TX
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Zip | 75235-7707
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Country | US
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Telephone | 214-645-2080
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Fax |
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Provider Business Mailing Address
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Address Line | 4011 KIRBY DR APT 411
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City | FORT WORTH
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State | TX
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Zip | 76155-3924
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Country | US
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Telephone |
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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 | 109966
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License Number State | TX
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