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General NPI Number Information
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NPI Number | 1841662327
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER E GAFFORD DBA GAFFORD FAMILY MEDICINE
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Dates
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Enumeration Date | 10/23/2015
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 2320 THORNTON TAYLOR PKWY
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City | FAYETTEVILLE
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State | TN
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Zip | 37334-3630
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Country | US
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Telephone | 931-433-7778
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Fax | 931-433-0671
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Provider Business Mailing Address
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Address Line | 2320 THORNTON TAYLOR PKWY
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City | FAYETTEVILLE
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State | TN
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Zip | 37334-3630
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Country | US
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Telephone | 931-433-7778
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Fax | 931-433-0671
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Authorized Official
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Title or Position | OWNER/AUTHORIZED REPRESENTATIVE
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Name | CHRISTOPHER E GAFFORD
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Credential | MD
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Telephone | 931-433-7778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 26019
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License Number State | TN
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