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General NPI Number Information
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NPI Number | 1811208655
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Entity Type | Individual
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Provider Name | JASON ALLEN CLAYTON MD, PHD
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Gender | Male
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Dates
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Enumeration Date | 06/26/2010
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 1001 JOHNSON FERRY RD
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City | ATLANTA
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State | GA
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Zip | 30342-1605
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Country | US
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Telephone | 919-593-8584
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Fax |
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Provider Business Mailing Address
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Address Line | 8820 GLEN FERRY DR
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City | JOHNS CREEK
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State | GA
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Zip | 30022-5371
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Country | US
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Telephone | 919-593-8584
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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 | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | 39757
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | 93558
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 255079
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 245142
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License Number State | MA
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Taxonomy #5
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | 35.123695
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License Number State | OH
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