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General NPI Number Information
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NPI Number | 1710936562
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Entity Type | Individual
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Provider Name | MICHAEL A CLINE NP
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Gender | Male
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Dates
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Enumeration Date | 05/09/2006
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Last Update Date | 05/04/2024
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Provider Practice Location Address
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Address Line | 584 E MAIN ST
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City | SPRINGVILLE
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State | NY
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Zip | 14141-1437
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Country | US
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Telephone | 716-685-2167
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Fax | 718-395-1571
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Provider Business Mailing Address
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Address Line | PO BOX 21
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City | FRANKLINVILLE
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State | NY
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Zip | 14737-0021
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Country | US
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Telephone | 716-685-6730
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Fax | 718-395-1571
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 400736
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License Number State | NY
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