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General NPI Number Information
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NPI Number | 1023581717
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Entity Type | Organization
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Legal Business Name | CLARKE FAMILY MEDICINE, LLP
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Dates
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Enumeration Date | 01/07/2019
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Last Update Date | 09/29/2020
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Provider Practice Location Address
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Address Line | 6950 WILLIAMS RD
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City | NIAGARA FALLS
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State | NY
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Zip | 14304-3025
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Country | US
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Telephone | 716-297-1027
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Fax | 716-298-4081
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Provider Business Mailing Address
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Address Line | 6950 WILLIAMS RD
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City | NIAGARA FALLS
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State | NY
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Zip | 14304-3025
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Country | US
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Telephone | 716-297-1027
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Fax | 716-298-4081
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DONNA MARIE HARMAN
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Credential |
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Telephone | 716-297-1027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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