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General NPI Number Information
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NPI Number | 1952500795
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Entity Type | Individual
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Provider Name | RICHARD JAMES CLANCY LIC. AC. M. AC.
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Gender | Male
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 03/07/2013
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Provider Practice Location Address
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Address Line | 6 GROVE ST SUITE 2B
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City | NORWELL
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State | MA
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Zip | 02061-1534
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Country | US
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Telephone | 781-878-2667
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Fax |
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Provider Business Mailing Address
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Address Line | 136 HIGH ST
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City | HINGHAM
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State | MA
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Zip | 02043-3341
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Country | US
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Telephone | 781-878-2667
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Fax |
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 223867
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License Number State | MA
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