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General NPI Number Information
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NPI Number | 1790889319
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Entity Type | Organization
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Legal Business Name | CLM MEDICAL MANAGEMENT PLC
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 10/09/2007
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Provider Practice Location Address
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Address Line | 36889 N TOM DARLINGTON DR SUITE A4
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City | CAREFREE
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State | AZ
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Zip | 85377-5925
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Country | US
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Telephone | 480-488-9220
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5925
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City | CAREFREE
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State | AZ
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Zip | 85377-5925
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Country | US
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Telephone | 480-488-9220
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Fax | 480-488-7014
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Authorized Official
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Title or Position | MEMBER DIRECTOR
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Name | DR. MARTIN SETH CHATTMAN
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Credential | MD MS
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Telephone | 480-488-9220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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