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General NPI Number Information
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NPI Number | 1659304921
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Entity Type | Organization
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Legal Business Name | CLARION MEDICAL, LLC
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 07/17/2008
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Provider Practice Location Address
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Address Line | 515 SHOEMAKER RD SUITE D
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-3599
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Country | US
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Telephone | 610-783-1122
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Fax | 610-783-0737
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Provider Business Mailing Address
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Address Line | 515 SHOEMAKER RD SUITE D
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-3599
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Country | US
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Telephone | 610-783-1122
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Fax | 610-783-0737
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. STANLEY GITIN
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Credential |
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Telephone | 610-783-1122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 06025
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License Number State | PA
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