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General NPI Number Information
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NPI Number | 1467515171
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Entity Type | Individual
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Provider Name | CHRISTINA LOUISE CLARK M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 08/07/2013
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Provider Practice Location Address
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Address Line | 3130 GRATIOT AVE
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City | DETROIT
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State | MI
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Zip | 48207-2283
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Country | US
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Telephone | 313-579-1860
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Fax | 313-922-0917
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Provider Business Mailing Address
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Address Line | 3130 GRATIOT AVENUE
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City | DETROIT
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State | MI
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Zip | 48207
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Country | US
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Telephone | 313-579-1860
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Fax | 313-579-0017
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301083926
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License Number State | MI
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