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General NPI Number Information
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NPI Number | 1023327244
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Entity Type | Organization
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Legal Business Name | AIDEN M CLARKE MD
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Dates
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Enumeration Date | 10/05/2010
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Last Update Date | 10/05/2010
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Provider Practice Location Address
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Address Line | 951 BLANCO CIR STE C
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City | SALINAS
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State | CA
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Zip | 93901-4451
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Country | US
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Telephone | 831-424-4878
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Fax | 831-424-4880
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Provider Business Mailing Address
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Address Line | 951 BLANCO CIR STE C
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City | SALINAS
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State | CA
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Zip | 93901-4451
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Country | US
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Telephone | 831-424-4878
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Fax | 831-424-4880
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AIDEN M CLARKE
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Credential | M.D.
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Telephone | 831-424-4878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | G64292
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License Number State | CA
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