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General NPI Number Information
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NPI Number | 1174630156
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Entity Type | Individual
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Provider Name | ROBERT A. CLARK MD
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Gender | Male
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 12/19/2014
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Provider Practice Location Address
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Address Line | 7703 FLOYD CURL DR # MC7881 DEPT OF MEDICINE/INFECTIOUS DISEASES
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3901
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Country | US
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Telephone | 210-567-0866
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Fax | 210-567-4654
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Provider Business Mailing Address
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Address Line | 7703 FLOYD CURL DR DEPT OF MEDICINE, MAIL CODE 7870
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3901
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Country | US
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Telephone | 210-567-0866
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Fax | 210-567-4654
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | K0251
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License Number State | TX
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