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General NPI Number Information
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NPI Number | 1235578113
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Entity Type | Organization
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Legal Business Name | CLOVER SYSTEMS LLC
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Dates
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Enumeration Date | 06/24/2013
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Last Update Date | 06/24/2013
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Provider Practice Location Address
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Address Line | 721 S INTERSTATE 35 E SUITE #140
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City | DENTON
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State | TX
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Zip | 76205-8153
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Country | US
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Telephone | 940-239-9202
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Fax | 214-224-0835
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Provider Business Mailing Address
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Address Line | 2530 LIBERTY LN
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City | DENTON
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State | TX
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Zip | 76209-1541
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Country | US
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Telephone | 214-227-2300
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Fax | 214-224-0835
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Authorized Official
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Title or Position | DC
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Name | DR. MARK DARNER
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Credential | DC, FASA
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Telephone | 214-227-2300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN0400X
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Taxonomy Name | Neurology Chiropractor
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License Number | 5958
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License Number State | TX
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