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General NPI Number Information
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NPI Number | 1003870270
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Entity Type | Individual
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Provider Name | CLIFFORD DOUGLAS ENG M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1314 SUMTER ST
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City | LEESBURG
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State | FL
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Zip | 34748-6385
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Country | US
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Telephone | 352-365-6877
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Fax | 352-323-8925
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Provider Business Mailing Address
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Address Line | 5232 WESTPATH WAY
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City | BETHESDA
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State | MD
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Zip | 20816-2261
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Country | US
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Telephone | 407-797-9032
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | ME88227
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License Number State | FL
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