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General NPI Number Information
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NPI Number | 1386292175
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Entity Type | Individual
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Provider Name | CLAYTON BRYCE GARBER FORD PA-C
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Gender | Male
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Dates
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Enumeration Date | 08/27/2019
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 177 FORT WASHINGTON AVE
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City | NEW YORK
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State | NY
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Zip | 10032-3733
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Country | US
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Telephone | 212-305-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 6310 HUNTINGTON LAKES CIR APT 104
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City | NAPLES
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State | FL
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Zip | 34119-8996
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Country | US
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Telephone | 239-537-3623
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 024332-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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