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General NPI Number Information
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NPI Number | 1497948947
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Entity Type | Individual
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Provider Name | TRACY LEA KLAYTON M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/18/2007
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Last Update Date | 10/10/2020
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Provider Practice Location Address
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Address Line | 1 NOLTE DR
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City | KITTANNING
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State | PA
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Zip | 16201-7111
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Country | US
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Telephone | 724-543-8690
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Fax | 724-543-8503
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Provider Business Mailing Address
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Address Line | 1 NOLTE DR
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City | KITTANNING
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State | PA
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Zip | 16201-7111
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Country | US
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Telephone | 724-543-8690
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Fax | 724-543-8503
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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 | 2085R0203X
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Taxonomy Name | Therapeutic Radiology Physician
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License Number | MD438280
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | MD438280
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License Number State | PA
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