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General NPI Number Information
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NPI Number | 1962899526
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Entity Type | Individual
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Provider Name | JONATHAN MCBRIDE MD
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Gender | Male
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Dates
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Enumeration Date | 04/22/2015
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 110 DEER XING
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City | VONORE
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State | TN
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Zip | 37885-2133
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Country | US
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Telephone | 423-884-1925
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Fax | 423-884-1926
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Provider Business Mailing Address
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Address Line | 300 E MCBEE AVE FL 4
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City | GREENVILLE
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State | SC
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Zip | 29601-2842
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 61480
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License Number State | TN
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