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General NPI Number Information
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NPI Number | 1811959778
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Entity Type | Individual
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Provider Name | ROGER VAN OSTRAND CLAAR D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 11759 ANNAPOLIS DR
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-8238
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Country | US
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Telephone | 909-578-8271
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2305
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91729-2305
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Country | US
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Telephone | 909-578-8271
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | E4153
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License Number State | CA
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