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General NPI Number Information
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NPI Number | 1740469519
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Entity Type | Organization
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Legal Business Name | CLARITYCENTERRX, LLC
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Dates
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Enumeration Date | 10/30/2007
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Last Update Date | 04/22/2009
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Provider Practice Location Address
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Address Line | 4401 FORD AVENUE SUITE 550
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City | ALEXANDRIA
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State | VA
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Zip | 22302
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Country | US
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Telephone | 703-820-2279
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Fax | 703-820-2282
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Provider Business Mailing Address
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Address Line | 4401 FORD AVE SUITE 550
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City | ALEXANDRIA
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State | VA
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Zip | 22302-1473
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Country | US
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Telephone | 703-820-2279
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Fax | 703-820-2282
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DAVID J. HAMBLEN
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Credential |
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Telephone | 703-820-2279
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 070118871
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License Number State | DE
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