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General NPI Number Information
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NPI Number | 1457659401
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Entity Type | Individual
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Provider Name | CLAYTON L JOHNSON D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/28/2011
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Last Update Date | 02/28/2011
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Provider Practice Location Address
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Address Line | 1220 E 17TH ST
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City | SANTA ANA
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State | CA
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Zip | 92701-2621
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Country | US
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Telephone | 714-285-1362
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Fax | 657-622-0016
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Provider Business Mailing Address
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Address Line | 1450 W 6TH ST SUITE 102
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City | CORONA
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State | CA
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Zip | 92882-3060
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Country | US
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Telephone | 951-279-1551
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Fax | 951-801-7928
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC24433
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License Number State | CA
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