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General NPI Number Information
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NPI Number | 1821653650
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Entity Type | Organization
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Legal Business Name | CLARK CONTRACTING CO. INC.
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Dates
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Enumeration Date | 05/07/2019
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Last Update Date | 05/07/2019
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Provider Practice Location Address
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Address Line | 1511 GRAYROCK DR
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City | WILMINGTON
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State | DE
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Zip | 19803-3906
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Country | US
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Telephone | 302-765-2228
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7756
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City | WILMINGTON
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State | DE
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Zip | 19803-0756
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Country | US
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Telephone | 302-765-2228
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | THOMAS H. CLARK JR.
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Credential |
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Telephone | 302-765-2228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number |
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License Number State |
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