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General NPI Number Information
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NPI Number | 1326437005
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Entity Type | Individual
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Provider Name | MR. ARNOLD RAY CLARK JR.
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Gender | Male
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Dates
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Enumeration Date | 01/18/2015
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Last Update Date | 01/18/2015
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Provider Practice Location Address
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Address Line | 1233 VALLEY AVE SE
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City | WASHINGTON
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State | DC
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Zip | 20032-4354
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Country | US
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Telephone | 301-535-7621
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Fax |
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Provider Business Mailing Address
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Address Line | 422 ABEL AVE
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City | CAPITOL HEIGHTS
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State | MD
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Zip | 20743-2845
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Country | US
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Telephone | 301-535-7621
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Fax | 202-379-3480
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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