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General NPI Number Information
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NPI Number | 1114035995
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Entity Type | Individual
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Provider Name | RICHARD BRANNON CLAYTOR MD
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Gender | Male
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 135 S BRYN MAWR AVE STE 300
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City | BRYN MAWR
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State | PA
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Zip | 19010-3131
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Country | US
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Telephone | 610-527-4833
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Fax | 610-527-7403
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Provider Business Mailing Address
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Address Line | 135 S BRYN MAWR AVE STE 300
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City | BRYN MAWR
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State | PA
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Zip | 19010-3131
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Country | US
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Telephone | 610-527-4833
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Fax | 610-527-4803
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 016864
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number | 016864
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | MD443747
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License Number State | PA
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