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Individual
RICHARD N CLATTENBURG
Active
Individual
RICHARD N CLATTENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
0420006288
VT
208000000X
Pediatrics Physician
042-0006288
VT
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
042-0006288
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005110
—
VT
Enumeration date
09/19/2005
Last updated
06/02/2011
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