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General NPI Number Information
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NPI Number | 1619034030
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Entity Type | Individual
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Provider Name | JAMES CHRISTOPHER CLIFFORD M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 04/16/2024
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Provider Practice Location Address
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Address Line | 1498 13TH STREET NOLF IB MEDICAL DEPARTMENT BLDG 184
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City | IMPERIAL BEACH
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State | CA
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Zip | 91932
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Country | US
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Telephone | 619-921-5077
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Fax |
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Provider Business Mailing Address
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Address Line | 4552 FAIRFIELD DR
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City | BETHESDA
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State | MD
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Zip | 20814-4704
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Country | US
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Telephone |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 01064296A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 67425
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A109342
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License Number State | CA
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