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General NPI Number Information
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NPI Number | 1356519490
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Entity Type | Individual
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Provider Name | CHRISTOPHER E CLEAVER
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Gender | Male
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Dates
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Enumeration Date | 02/12/2008
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Last Update Date | 02/12/2008
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Provider Practice Location Address
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Address Line | BUILDING 301 ANDREWS AVE
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City | FT RUCKER
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State | AL
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Zip | 36362
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Country | US
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Telephone | 334-255-7883
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Fax |
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Provider Business Mailing Address
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Address Line | 19 ANDERSON ST
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City | FORT RUCKER
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State | AL
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Zip | 36362-2001
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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 | 246QM0706X
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Taxonomy Name | Medical Technologist
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License Number |
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License Number State |
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