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General NPI Number Information
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NPI Number | 1306232194
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Entity Type | Individual
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Provider Name | JESSICA DANIELLE CLEMONS M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/08/2015
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Last Update Date | 06/16/2023
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Provider Practice Location Address
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Address Line | 201 5TH ST NE STE 6
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City | BARBERTON
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State | OH
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Zip | 44203-3017
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Country | US
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Telephone | 330-745-4976
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Fax |
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Provider Business Mailing Address
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Address Line | 525 E MARKET ST SUMMA HEALTH SYSTEM/OBSTETRICS & GYNECOLOGY RESIDENCY
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City | AKRON
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State | OH
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Zip | 44304-1619
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Country | US
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Telephone | 330-375-7459
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 35.134226
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License Number State | OH
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