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General NPI Number Information
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NPI Number | 1023966611
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Entity Type | Individual
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Provider Name | RONDALE CLARKSON
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Gender | Female
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Dates
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Enumeration Date | 03/19/2026
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Last Update Date | 03/19/2026
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Provider Practice Location Address
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Address Line | 4023 KENNETT PIKE # 988
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City | WILMINGTON
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State | DE
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Zip | 19807-2018
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Country | US
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Telephone | 877-504-4141
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Fax |
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Provider Business Mailing Address
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Address Line | 712 CLEMENTINE CT UNIT 35
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City | SEAFORD
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State | DE
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Zip | 19973-2876
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Country | US
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Telephone |
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 2153854
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License Number State | DE
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