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General NPI Number Information
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NPI Number | 1306839840
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Entity Type | Individual
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Provider Name | ELLEN ELIZABETH CLAXTON MD
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Gender | Female
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Dates
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Enumeration Date | 08/30/2005
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 340 S WILLARD ST STE 101
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City | COTTONWOOD
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State | AZ
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Zip | 86326-4126
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Country | US
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Telephone | 928-634-2015
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3630
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City | FLAGSTAFF
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State | AZ
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Zip | 86003-3630
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Country | US
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Telephone | 928-233-5110
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Fax | 928-774-6687
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | MD60426326
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 23433
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License Number State | AZ
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