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General NPI Number Information
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NPI Number | 1013054972
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Entity Type | Organization
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Legal Business Name | ALBERT A CLAIRMONT MD
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 03/05/2014
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Provider Practice Location Address
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Address Line | 2700 WESTSIDE DR NW SUITE 308
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City | CLEVELAND
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State | TN
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Zip | 37312-3699
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Country | US
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Telephone | 423-479-4132
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Fax | 423-478-5347
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Provider Business Mailing Address
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Address Line | 2700 WESTSIDE DR NW SUITE 308
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City | CLEVELAND
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State | TN
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Zip | 37312-3699
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Country | US
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Telephone | 423-479-4132
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Fax | 423-478-5347
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Authorized Official
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Title or Position | ASST.
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Name | MS. JEAN M VIERLING
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Credential |
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Telephone | 423-479-4132
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 36996
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License Number State | TN
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