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General NPI Number Information
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NPI Number | 1780738500
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Entity Type | Individual
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Provider Name | CLYDE ALPHONSO TURNER JR. D.O.
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Gender | Male
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 590 MEDICAL CENTER ROAD
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City | FORT CAVAZOS
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State | TX
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Zip | 76544
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Country | US
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Telephone | 254-553-1371
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Fax |
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Provider Business Mailing Address
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Address Line | 8111 WILD WIND PARK
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City | GARDEN RIDGE
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State | TX
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Zip | 78266-2195
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Country | US
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Telephone | 254-702-1269
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Fax |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 5101008474
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | V8420
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License Number State | TX
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