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NPI Code Detail

MEDICARE: ALDEN CLARK

MEDICARE: ALDEN CLARK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA200002204DC

General Provider Information

NPI Number : 1215626957
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALDEN CLARK
Provider Business Mailing Address
First Line : 525 EHRINGHAUS ST
Second Line :
City : HENDERSONVILLE
State : NC
Zip : 28739-4117
Country : US
Telephone Number : 828-808-5694
Fax Number :
Provider Business Practice Location Address
First Line : 3800 RESERVOIR RD NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20007-2113
Country : US
Telephone Number : 202-444-4972
Fax Number : 202-444-7333
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2023
Last Update Date : 03/04/2026

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Directions to “ ALDEN CLARK ” Practice Location

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