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General NPI Number Information
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NPI Number | 1396688248
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Entity Type | Organization
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Legal Business Name | JOSEPH CLARK DO PC
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Dates
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Enumeration Date | 04/13/2026
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Last Update Date | 04/13/2026
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Provider Practice Location Address
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Address Line | 186 CLAIR KUNCELMAN LN
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City | EBENSBURG
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State | PA
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Zip | 15931-6707
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Country | US
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Telephone | 814-659-8569
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Fax |
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Provider Business Mailing Address
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Address Line | 186 CLAIR KUNCELMAN LN
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City | EBENSBURG
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State | PA
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Zip | 15931-6707
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Country | US
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Telephone | 814-659-8569
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/PRESIDENT
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Name | DR. JOSEPH C CLARK
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Credential | DO
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Telephone | 814-659-8569
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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