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General NPI Number Information
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NPI Number | 1033988274
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Entity Type | Organization
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Legal Business Name | CLAYTON HINSHAW M.D., INC
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Dates
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Enumeration Date | 12/29/2023
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 2925 SYCAMORE DR STE 204
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City | SIMI VALLEY
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State | CA
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Zip | 93065-1208
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Country | US
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Telephone | 310-890-5883
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Fax |
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Provider Business Mailing Address
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Address Line | 2925 SYCAMORE DR STE 204
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City | SIMI VALLEY
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State | CA
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Zip | 93065-1208
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Country | US
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Telephone | 310-890-5883
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CLAYTON HINSHAW
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Credential | MD
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Telephone | 310-890-5883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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