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General NPI Number Information
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NPI Number | 1114778040
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Entity Type | Individual
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Provider Name | ERIC N MCCLOUD
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Gender | Male
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Dates
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Enumeration Date | 03/28/2024
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 285 ROBERT AVE
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City | RED BLUFF
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State | CA
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Zip | 96080-2980
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Country | US
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Telephone | 425-321-7985
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Fax |
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Provider Business Mailing Address
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Address Line | 285 ROBERT AVE
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City | RED BLUFF
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State | CA
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Zip | 96080-2980
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Country | US
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Telephone | 425-321-7985
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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 | 172A00000X
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Taxonomy Name | Driver
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License Number | C7034935
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License Number State | CA
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