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NPI 1124024666

NPI 1124024666 : CHRISTOPHER RANDOLPH CLAPP MD : LENOIR, NC

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General NPI Number Information
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    NPI Number           |    1124024666
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTOPHER RANDOLPH CLAPP MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/21/2005
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    Last Update Date     |    04/14/2011
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Provider Practice Location Address
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    Address Line         |    3431 MORGANTON BLVD SW 
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    City                 |    LENOIR
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    State                |    NC
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    Zip                  |    28645-8628
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    Country              |    US
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    Telephone            |    828-758-9177
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    Fax                  |    828-758-4755
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Provider Business Mailing Address
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    Address Line         |    100 MEDICAL HEIGHTS DR 
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    City                 |    MORGANTON
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    State                |    NC
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    Zip                  |    28655-5197
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    Country              |    US
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    Telephone            |    828-433-4484
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    Fax                  |    828-433-4487
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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       |    9600174
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    License Number State |    NC
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