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General NPI Number Information
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NPI Number | 1114903457
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Entity Type | Individual
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Provider Name | PAUL NORMAN CLONINGER M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/19/2005
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Last Update Date | 10/18/2011
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Provider Practice Location Address
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Address Line | 4801 J ST SUITE B
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City | SACRAMENTO
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State | CA
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Zip | 95819-3746
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Country | US
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Telephone | 916-452-6222
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Fax |
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Provider Business Mailing Address
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Address Line | 4801 J ST SUITE B
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City | SACRAMENTO
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State | CA
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Zip | 95819-3746
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Country | US
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Telephone | 916-452-6222
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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 | 207KI0005X
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Taxonomy Name | Clinical & Laboratory Immunology (Allergy & Immunology) Physician
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License Number | A23119
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License Number State | CA
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