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General NPI Number Information
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NPI Number | 1487831004
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Entity Type | Individual
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Provider Name | JOSEPH CLAY D.C.
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Gender | Male
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Dates
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Enumeration Date | 01/25/2008
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Last Update Date | 08/13/2013
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Provider Practice Location Address
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Address Line | 350 N MART PLZ
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City | JACKSON
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State | MS
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Zip | 39206-5319
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Country | US
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Telephone | 601-987-0067
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Fax | 601-987-6722
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Provider Business Mailing Address
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Address Line | 350 N MART PLZ
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City | JACKSON
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State | MS
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Zip | 39206-5319
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Country | US
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Telephone | 601-977-1110
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Fax |
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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 | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 1124
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License Number State | MS
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