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General NPI Number Information
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NPI Number | 1649592346
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Entity Type | Individual
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Provider Name | MR. PATRICK CLOWARD
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Gender | Male
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Dates
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Enumeration Date | 02/22/2010
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 618 E STAR CT
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City | MONTROSE
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State | CO
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Zip | 81401-6700
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Country | US
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Telephone | 970-249-3971
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Fax |
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Provider Business Mailing Address
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Address Line | 618 E STAR CT
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City | MONTROSE
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State | CO
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Zip | 81401-6700
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Country | US
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Telephone | 970-249-3971
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | A01505
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 23002273A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AUD.0000847
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License Number State | CO
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