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General NPI Number Information
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NPI Number | 1841386562
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Entity Type | Individual
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Provider Name | JEFFREY HARMON MCCARTER M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 203 N. CEDAR AVENUE SUITE A
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City | COOKEVILLE
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State | TN
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Zip | 38501
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Country | US
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Telephone | 931-528-1992
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Fax | 931-526-3694
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Provider Business Mailing Address
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Address Line | 203 N. CEDAR AVENUE SUITE A
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City | COOKEVILLE
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State | TN
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Zip | 38501
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Country | US
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Telephone | 931-528-1992
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Fax | 931-526-3694
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 35198
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License Number State | TN
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