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General NPI Number Information
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NPI Number | 1205830148
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Entity Type | Organization
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Legal Business Name | CLEAR-CARE CORPORATION
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 03/30/2012
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Provider Practice Location Address
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Address Line | 1225 S 2ND ST
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City | CLEARFIELD
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State | PA
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Zip | 16830-3305
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Country | US
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Telephone | 814-765-0221
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Fax | 814-765-3590
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Provider Business Mailing Address
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Address Line | PO BOX 1411
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City | CLEARFIELD
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State | PA
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Zip | 16830-5411
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Country | US
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Telephone | 814-765-0221
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Fax | 814-765-3590
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Authorized Official
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Title or Position | PRESIDENT
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Name | KATHY L RIDGWAY
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Credential |
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Telephone | 814-765-0221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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