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General NPI Number Information
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NPI Number | 1356415012
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Entity Type | Individual
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Provider Name | JENNIFER R. CLAPPER M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 12/02/2020
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Provider Practice Location Address
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Address Line | 6847 N CHESTNUT ST SUITE 200
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City | RAVENNA
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State | OH
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Zip | 44266-3929
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Country | US
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Telephone | 330-296-9606
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Fax | 330-296-2005
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Provider Business Mailing Address
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Address Line | 254 PALMETTO AVE
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City | AKRON
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State | OH
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Zip | 44301-2663
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Country | US
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Telephone | 330-785-0353
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35-080495
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License Number State | OH
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