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General NPI Number Information
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NPI Number | 1558702399
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Entity Type | Organization
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Legal Business Name | DEAN B CLEMENT, DPM, PLLC
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Dates
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Enumeration Date | 07/09/2013
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 1515 E FLORENCE BLVD STE 105
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City | CASA GRANDE
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State | AZ
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Zip | 85122-5334
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Country | US
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Telephone | 520-836-2962
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Fax | 520-836-8343
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Provider Business Mailing Address
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Address Line | 1845 E ENROSE ST
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City | MESA
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State | AZ
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Zip | 85203-5822
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Country | US
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Telephone | 480-529-2865
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DEAN BRIAN CLEMENT
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Credential | D.P.M.
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Telephone | 480-529-2865
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 0593
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License Number State | AZ
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