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General NPI Number Information
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NPI Number | 1952324402
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Entity Type | Individual
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Provider Name | THOMAS ALLAN MCCLURE MD
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Gender | Male
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 75 CLAREMONT ST STE F
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City | KALISPELL
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State | MT
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Zip | 59901
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Country | US
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Telephone | 406-757-4189
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Fax | 406-751-6481
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Provider Business Mailing Address
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Address Line | 963 DENVER ST
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City | WHITEFISH
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State | MT
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Zip | 59937
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Country | US
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Telephone | 406-270-5932
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Fax | 406-751-6481
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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 | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | G48069
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | MT-PHYS-UC45901
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | MD60222687
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License Number State | WA
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