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General NPI Number Information
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NPI Number | 1154680668
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Entity Type | Individual
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Provider Name | BRIAN ROBERT CLEAR M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/04/2012
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Last Update Date | 08/18/2022
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Provider Practice Location Address
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Address Line | 1700 WESTLAKE AVE N STE 200
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City | SEATTLE
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State | WA
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Zip | 98109-6212
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Country | US
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Telephone | 866-337-2566
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Fax |
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Provider Business Mailing Address
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Address Line | 1768 9TH ST
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City | OAKLAND
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State | CA
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Zip | 94607-1341
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Country | US
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Telephone | 510-731-7315
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A148861
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 47916
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME 124874
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | ME124874
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | A148861
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License Number State | CA
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