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General NPI Number Information
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NPI Number | 1679459234
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Entity Type | Organization
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Legal Business Name | CLEAR MED CONSULTANTS
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 4333 E MCDONALD DR
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City | PHOENIX
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State | AZ
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Zip | 85018-1118
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Country | US
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Telephone | 844-612-5327
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 15388
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City | PHOENIX
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State | AZ
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Zip | 85060-5388
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Country | US
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Telephone | 480-299-1094
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DANIEL DE LEON
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Credential |
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Telephone | 480-299-1094
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1100X
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Taxonomy Name | Research Clinic/Center
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License Number |
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License Number State |
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