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General NPI Number Information
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NPI Number | 1720348725
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Entity Type | Organization
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Legal Business Name | JOHN M CLAIR DO INC
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Dates
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Enumeration Date | 05/23/2012
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Last Update Date | 06/15/2012
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Provider Practice Location Address
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Address Line | 901 ADAMS BLVD
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City | BOULDER CITY
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State | NV
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Zip | 89005-2213
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Country | US
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Telephone | 702-293-4111
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Fax |
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Provider Business Mailing Address
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Address Line | 6955 N DURANGO DR SUITE 1115-298
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City | LAS VEGAS
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State | NV
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Zip | 89149-4411
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Country | US
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Telephone | 702-453-3799
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Fax | 702-453-5741
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Authorized Official
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Title or Position | ACCTS MGR
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Name | LORI LABRECQUE
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Credential |
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Telephone | 702-453-3799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | DO1452
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License Number State | NV
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