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General NPI Number Information
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NPI Number | 1346607306
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Entity Type | Individual
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Provider Name | MATTHEW AARON CLINGMAN MSN, RN, FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 01/21/2016
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 1100 NEAL ZICK RD
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City | WILLARD
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State | OH
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Zip | 44890-9287
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Country | US
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Telephone | 419-993-2811
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Fax | 419-933-4502
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Provider Business Mailing Address
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Address Line | 2200 JEFFERSON AVE 5TH FL
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City | TOLEDO
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State | OH
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Zip | 43604-7101
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.18622
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License Number State | OH
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