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General NPI Number Information
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NPI Number | 1679736649
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Entity Type | Individual
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Provider Name | CLAYTON JOHN SONTHEIMER M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/09/2008
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Last Update Date | 05/23/2018
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Provider Practice Location Address
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Address Line | 4800 SAND POINT WAY NE MAIL STOP R-5420
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City | SEATTLE
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State | WA
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Zip | 98105
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Country | US
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Telephone | 314-974-6773
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Fax |
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Provider Business Mailing Address
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Address Line | 4800 SAND POINT WAY NE MAIL STOP R-5420
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City | SEATTLE
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State | WA
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Zip | 98105-3901
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Country | US
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Telephone | 314-974-6773
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 60207732
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 2080P0216X
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Taxonomy Name | Pediatric Rheumatology Physician
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License Number | 60207732
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License Number State | WA
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