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General NPI Number Information
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NPI Number | 1922289032
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Entity Type | Organization
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Legal Business Name | DR JOSEPH PAUL CLABOTS
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Dates
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Enumeration Date | 11/16/2007
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Last Update Date | 02/29/2008
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Provider Practice Location Address
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Address Line | 7424 BRIDGEPORT WAY W STE 307
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City | LAKEWOOD
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State | WA
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Zip | 98499-8135
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Country | US
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Telephone | 253-588-3149
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Fax | 253-588-2688
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Provider Business Mailing Address
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Address Line | PO BOX 11073
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City | TACOMA
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State | WA
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Zip | 98411-0073
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Country | US
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Telephone | 253-588-3149
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Fax | 253-588-2688
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSEPH PAUL CLABOTS
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Credential | MD
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Telephone | 253-588-3149
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | MD00023513
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License Number State | WA
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