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General NPI Number Information
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NPI Number | 1417819772
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Entity Type | Organization
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Legal Business Name | CLAYDON IMAGING
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Dates
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Enumeration Date | 11/25/2025
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 148 CATHERINE LN
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City | GRASS VALLEY
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State | CA
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Zip | 95945-5717
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Country | US
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Telephone | 530-271-5879
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Fax |
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Provider Business Mailing Address
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Address Line | 148 CATHERINE LN
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City | GRASS VALLEY
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State | CA
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Zip | 95945-5717
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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 | PODIATRIST/SURGEON
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Name | MR. MARC CLAYDON
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Credential | DPM
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Telephone | 530-271-5879
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number |
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License Number State |
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