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General NPI Number Information
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NPI Number | 1144366428
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Entity Type | Organization
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Legal Business Name | LLOYD J. CLEAVER, D.O., L.L.C.
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 09/29/2016
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Provider Practice Location Address
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Address Line | 1316 COUNTRY CLUB DR
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City | KIRKSVILLE
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State | MO
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Zip | 63501-5362
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Country | US
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Telephone | 660-627-7546
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Fax | 660-956-7096
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Provider Business Mailing Address
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Address Line | 1316 COUNTRY CLUB DR
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City | KIRKSVILLE
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State | MO
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Zip | 63501-5362
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Country | US
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Telephone | 660-627-7546
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Fax | 660-956-7097
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Authorized Official
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Title or Position | OWNER
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Name | LLOYD JEROME CLEAVER
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Credential | D.O.
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Telephone | 660-627-7546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | R8895
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License Number State | MO
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