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General NPI Number Information
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NPI Number | 1043379266
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Entity Type | Individual
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Provider Name | LAWRENCE H CLIMO M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | COMPHEALTH 4021 SOUTH 700 EAST SUITE 300
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City | SALT LAKE CITY
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State | UT
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Zip | 84107-2184
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Country | US
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Telephone | 800-453-3030
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Fax |
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Provider Business Mailing Address
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Address Line | 129 SALEM ST
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City | ANDOVER
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State | MA
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Zip | 01810-2210
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Country | US
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Telephone | 800-453-3030
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 32513
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License Number State | MA
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