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Individual
DR. RAYMOND E CLARKE
Active
Individual
DR. RAYMOND E CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35-043596
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000130958
ANTHEM BLUE CROSS BLUE SHIELD
—
01
—
000000197173
UNISON HEALTH PLAN
—
05
—
0251374
—
OH
Enumeration date
03/29/2006
Last updated
07/20/2009
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