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NPI 1578525465

NPI 1578525465 : WILLIAM L CLAPP MD : MINNEAPOLIS, MN

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General NPI Number Information
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    NPI Number           |    1578525465
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    Entity Type          |    Individual 
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    Provider Name        |    WILLIAM L CLAPP MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/05/2006
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    Last Update Date     |    04/07/2019
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Provider Practice Location Address
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    Address Line         |    5346 LYNDALE AVE S 
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    City                 |    MINNEAPOLIS
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    State                |    MN
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    Zip                  |    55419-1230
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    Country              |    US
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    Telephone            |    612-746-5888
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    Fax                  |    612-746-5818
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Provider Business Mailing Address
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    Address Line         |    5346 LYNDALE AVE S 
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    City                 |    MINNEAPOLIS
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    State                |    MN
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    Zip                  |    55419-1230
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    Country              |    US
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    Telephone            |    612-746-5888
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    Fax                  |    612-746-5818
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    39313
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    License Number State |    MN
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