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General NPI Number Information
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NPI Number | 1154518132
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Entity Type | Individual
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Provider Name | JANE MCCLAY PSY. D.
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Gender | Female
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Dates
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Enumeration Date | 10/03/2007
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Last Update Date | 11/15/2011
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Provider Practice Location Address
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Address Line | 590 SEARLS AVE STE 12
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City | NEVADA CITY
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State | CA
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Zip | 95959-3043
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Country | US
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Telephone | 530-401-7705
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Fax | 888-508-1548
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Provider Business Mailing Address
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Address Line | PO BOX 1110
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City | NEWCASTLE
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State | CA
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Zip | 95658-1110
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Country | US
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Telephone | 530-305-1327
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Fax | 888-508-1548
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY22483
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License Number State | CA
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