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General NPI Number Information
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NPI Number | 1245022540
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Entity Type | Individual
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Provider Name | JACKSON TYLER CLARK
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Gender | Male
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 6985 W 38TH ST STE 100
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City | INDIANAPOLIS
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State | IN
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Zip | 46254-3918
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Country | US
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Telephone | 317-243-0028
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Fax |
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Provider Business Mailing Address
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Address Line | 8614 WESTWOOD CENTER DR FL 9
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City | VIENNA
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State | VA
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Zip | 22182-2442
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Country | US
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Telephone | 703-847-8899
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 18004592A
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License Number State | IN
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