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General NPI Number Information
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NPI Number | 1417335969
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Entity Type | Organization
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Legal Business Name | JAYMA S CLAUS DDS INC
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Dates
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Enumeration Date | 05/15/2015
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Last Update Date | 05/15/2015
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Provider Practice Location Address
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Address Line | 1011 PROFESSIONAL DR STE B
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City | NAPA
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State | CA
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Zip | 94558-6413
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Country | US
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Telephone | 707-251-8099
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Fax |
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Provider Business Mailing Address
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Address Line | 1011 PROFESSIONAL DR STE B
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City | NAPA
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State | CA
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Zip | 94558-6413
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Country | US
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Telephone | 707-251-8099
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAYMA S CLAUS
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Credential | DDS
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Telephone | 707-251-8099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 40640
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License Number State | CA
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