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General NPI Number Information
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NPI Number | 1063498533
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Entity Type | Individual
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Provider Name | LLOYD SCOTT CLEMENTS MD PHD
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Gender | Male
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Dates
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Enumeration Date | 12/16/2005
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Last Update Date | 03/26/2018
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Provider Practice Location Address
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Address Line | 1504 SPRINGHILL AVE SUITE 1600
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City | MOBILE
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State | AL
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Zip | 36604-3207
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Country | US
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Telephone | 251-434-3915
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Fax | 251-434-3802
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Provider Business Mailing Address
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Address Line | PO BOX 40480
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City | MOBILE
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State | AL
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Zip | 36640-0480
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Country | US
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Telephone | 251-470-5842
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Fax | 251-470-5809
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 00023115
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 23115
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License Number State | AL
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