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General NPI Number Information
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NPI Number | 1821109349
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Entity Type | Organization
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Legal Business Name | DAVID A. CLARK, M.D., MEDICAL CORPORATION
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 880 CASS ST SUITE 108
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City | MONTEREY
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State | CA
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Zip | 93940-2947
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Country | US
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Telephone | 831-649-9330
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Fax | 831-649-9335
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Provider Business Mailing Address
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Address Line | 880 CASS ST SUITE 108
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City | MONTEREY
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State | CA
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Zip | 93940-2947
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Country | US
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Telephone | 831-649-9330
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Fax | 831-649-9335
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Authorized Official
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Title or Position | BILLING AND CODING SPECIALIST
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Name | JOELENE A GONZALES
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Credential |
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Telephone | 831-649-9330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 00G123030
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License Number State | CA
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