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General NPI Number Information
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NPI Number | 1578606307
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Entity Type | Individual
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Provider Name | LARRY CROMWELL CLARK PHARM.D., M.S.
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Gender | Male
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2635 N 7TH ST
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-8209
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Country | US
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Telephone | 970-244-2460
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Fax | 970-244-2842
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Provider Business Mailing Address
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Address Line | 526 S BROADWAY
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City | GRAND JUNCTION
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State | CO
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Zip | 81503-9646
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Country | US
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Telephone | 970-314-7139
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Fax |
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 11386
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License Number State | CO
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