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General NPI Number Information
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NPI Number | 1003017229
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Entity Type | Individual
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Provider Name | DANIEL JAMES CLARK DO
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Gender | Male
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 33 LONO AVE STE 305
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City | KAHULUI
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State | HI
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Zip | 96732-1635
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Country | US
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Telephone | 808-538-3232
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Fax | 808-538-3220
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Provider Business Mailing Address
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Address Line | 33 LONO AVE STE 305
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City | KAHULUI
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State | HI
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Zip | 96732-1635
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Country | US
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Telephone | 808-538-3232
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Fax | 808-538-3220
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 4708
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | E-5858
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | OP 60011959
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 4799
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License Number State | AZ
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Taxonomy #5
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 20A10260
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | DOS-1343
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License Number State | HI
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