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Individual
EMILY CLEMENTS
Active
Individual
EMILY CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
FLOS10308
FL
207VG0400X
Gynecology Physician
5101016111
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL543X
MEDICARE PTAN
FL
Enumeration date
05/24/2007
Last updated
06/21/2012
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