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NPI 1679932784

NPI 1679932784 : JENNIFER A CLAUSS PA : BURLINGTON, VT

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General NPI Number Information
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    NPI Number           |    1679932784
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    Entity Type          |    Individual 
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    Provider Name        |    JENNIFER A CLAUSS PA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/17/2016
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    Last Update Date     |    09/18/2025
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Provider Practice Location Address
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    Address Line         |    111 COLCHESTER AVE 
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    City                 |    BURLINGTON
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    State                |    VT
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    Zip                  |    05401-1473
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    Country              |    US
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    Telephone            |    802-847-0000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    20 YORK ST 
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    City                 |    NEW HAVEN
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    State                |    CT
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    Zip                  |    06510-3220
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    Country              |    US
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    Telephone            |    203-200-6612
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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        |    363AM0700X
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    Taxonomy Name        |    Medical Physician Assistant
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    License Number       |    3532
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    License Number State |    CT
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Taxonomy #2
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    Taxonomy Code        |    363AM0700X
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    Taxonomy Name        |    Medical Physician Assistant
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    License Number       |    055-0031493
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    License Number State |    VT
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