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General NPI Number Information
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NPI Number | 1902864341
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Entity Type | Individual
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Provider Name | ARTHUR EDWARD CLARK JR. MD
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Gender | Male
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 900 23RD ST NW
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City | WASHINGTON
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State | DC
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Zip | 20037-2342
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Country | US
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Telephone | 202-715-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 3811 FAIRFAX DR STE 300
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City | ARLINGTON
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State | VA
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Zip | 22203-1707
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Country | US
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Telephone | 202-741-3570
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Fax | 202-741-3560
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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 | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 22120
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD600003705
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | ME120685
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | D0044324
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License Number State | MD
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME120685
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | D0044324
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License Number State | MD
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