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General NPI Number Information
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NPI Number | 1114926037
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Entity Type | Individual
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Provider Name | ANDREA H CLAYMAN GNP
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Gender | Female
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Dates
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Enumeration Date | 07/21/2005
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Last Update Date | 02/09/2010
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Provider Practice Location Address
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Address Line | 11812 CRUSSELLE DR
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City | JACKSONVILLE
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State | FL
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Zip | 32223-0876
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Country | US
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Telephone | 904-252-5265
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Fax |
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Provider Business Mailing Address
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Address Line | 11812 CRUSSELLE DR
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City | JACKSONVILLE
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State | FL
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Zip | 32223-0876
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Country | US
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Telephone | 904-252-5265
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Fax |
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | RN078635 AP01911
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License Number State | LA
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