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General NPI Number Information
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NPI Number | 1427426360
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Entity Type | Individual
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Provider Name | JAMES M CLEMENTS APRN
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Gender | Male
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Dates
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Enumeration Date | 09/09/2015
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 705 1ST AVE STE A
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City | DODGE CITY
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State | KS
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Zip | 67801-4437
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Country | US
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Telephone | 620-471-3140
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Fax | 620-471-3141
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Provider Business Mailing Address
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Address Line | 715 SOUTHWIND DR
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City | JUNCTION CITY
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State | KS
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Zip | 66441-9021
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Country | US
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Telephone | 785-209-3779
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Fax | 785-209-3780
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 53-77022-012
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License Number State | KS
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