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General NPI Number Information
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NPI Number | 1891487070
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Entity Type | Organization
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Legal Business Name | MCCLURE HEALTHCARE
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Dates
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Enumeration Date | 05/24/2023
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 400 W. CALVERT ST , UNIT C
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City | TROUP
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State | TX
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Zip | 75789
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Country | US
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Telephone | 903-969-5056
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 59
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City | TROUP
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State | TX
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Zip | 75789-0059
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Country | US
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Telephone | 903-969-5056
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Fax | 903-969-5059
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Authorized Official
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Title or Position | NP
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Name | STEPHANIE MCCLURE
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Credential | APRN FNP-C
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Telephone | 903-969-5056
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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