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General NPI Number Information
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NPI Number | 1184285074
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Entity Type | Individual
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Provider Name | CLAYTON HOI-YUN MCCLINTOCK
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Gender | Male
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Dates
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Enumeration Date | 06/22/2019
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Last Update Date | 06/22/2019
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Provider Practice Location Address
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Address Line | 4150 CLEMENT ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94121-1563
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Country | US
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Telephone | 510-619-6065
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Fax |
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Provider Business Mailing Address
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Address Line | 11070 KATY FWY APT 1422
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City | HOUSTON
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State | TX
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Zip | 77043-4792
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Country | US
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Telephone |
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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