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General NPI Number Information
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NPI Number | 1417924960
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Entity Type | Individual
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Provider Name | DEBRA H CLAPP M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/03/2006
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Last Update Date | 04/01/2014
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Provider Practice Location Address
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Address Line | 4231 COLONIAL AVE SUITE 1
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City | ROANOKE
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State | VA
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Zip | 24018-4002
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Country | US
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Telephone | 540-774-6000
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Fax | 540-774-5276
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Provider Business Mailing Address
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Address Line | 4231 COLONIAL AVE SUITE 1
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City | ROANOKE
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State | VA
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Zip | 24018-4025
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Country | US
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Telephone | 540-774-6000
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Fax | 540-774-5276
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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 | 101038115
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License Number State | VA
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