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General NPI Number Information
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NPI Number | 1043329980
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Entity Type | Individual
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Provider Name | CLYDE A CABOT DO
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Gender | Male
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 04/04/2012
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Provider Practice Location Address
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Address Line | 831 S RINCON RISING RD
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City | TUCSON
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State | AZ
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Zip | 85748-6401
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Country | US
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Telephone | 520-271-8603
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Fax | 520-885-6080
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Provider Business Mailing Address
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Address Line | PO BOX 17480
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City | TUCSON
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State | AZ
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Zip | 85731-7480
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Country | US
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Telephone | 520-271-8603
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Fax | 520-885-6080
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 3868
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License Number State | AZ
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