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General NPI Number Information
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NPI Number | 1801788344
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Entity Type | Individual
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Provider Name | CONNOR CLAYTON
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Gender | Male
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Dates
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Enumeration Date | 07/18/2025
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 1210 W 18TH ST STE LL01
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City | SIOUX FALLS
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State | SD
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Zip | 57104-4655
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Country | US
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Telephone | 605-328-1860
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Fax |
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Provider Business Mailing Address
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Address Line | 900 KELLAND DR
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City | NORFOLK
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State | NE
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Zip | 68701-1580
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Country | US
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Telephone |
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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 | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number |
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License Number State |
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