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General NPI Number Information
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NPI Number | 1174512727
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Entity Type | Organization
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Legal Business Name | CLIPPER CARDIOVASCULAR ASSOCIATES, INC
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Dates
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Enumeration Date | 10/17/2005
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Last Update Date | 04/27/2012
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Provider Practice Location Address
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Address Line | 112A PARKER ST
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City | NEWBURYPORT
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State | MA
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Zip | 01950-4008
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Country | US
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Telephone | 978-462-1110
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Fax | 978-462-3889
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Provider Business Mailing Address
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Address Line | 112A PARKER ST
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City | NEWBURYPORT
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State | MA
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Zip | 01950-4008
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Country | US
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Telephone | 878-462-1110
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Fax | 978-462-3889
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. WILLIAM T JOHNSON
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Credential |
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Telephone | 804-237-7760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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