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General NPI Number Information
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NPI Number | 1437263266
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Entity Type | Individual
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Provider Name | W. CLAYTON BUIE JR. OTR
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Gender | Male
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 245 CAHABA VALLEY PKWY SUITE 200
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City | PELHAM
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State | AL
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Zip | 35124-2216
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Country | US
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Telephone | 205-942-6820
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Fax | 205-942-5627
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Provider Business Mailing Address
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Address Line | 9702 WELCH CIR SE
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City | HUNTSVILLE
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State | AL
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Zip | 35803-2622
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Country | US
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Telephone | 256-880-8075
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Fax | 256-650-5041
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 502
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 635
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License Number State | TN
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