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Individual
RICHARD CHRISTOPHER MAUPIN
Active
Individual
RICHARD CHRISTOPHER MAUPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2111
TN
363AS0400X
Surgical Physician Assistant
Primary
2111
TN
Other
Enumeration date
02/21/2012
Last updated
02/05/2013
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