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General NPI Number Information
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NPI Number | 1639143472
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Entity Type | Individual
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Provider Name | ROBERT CARTER CLEMENTS MD
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Gender | Male
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Dates
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Enumeration Date | 02/16/2006
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Last Update Date | 01/06/2023
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Provider Practice Location Address
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Address Line | 1459 HUMBOLDT RD STE A
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City | CHICO
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State | CA
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Zip | 95928-9100
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Country | US
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Telephone | 530-855-0213
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Fax | 530-466-3741
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Provider Business Mailing Address
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Address Line | 1459 HUMBOLDT RD STE A
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City | CHICO
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State | CA
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Zip | 95928-9100
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Country | US
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Telephone | 530-855-0213
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Fax | 530-466-3741
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A41716
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License Number State | CA
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