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General NPI Number Information
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NPI Number | 1811918915
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Entity Type | Individual
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Provider Name | JEFFERY E CLAYTON D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | JONESBORO ANESTHESIA, INC. 221 HUGHES, SUITE C
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City | JONESBORO
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State | AR
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Zip | 72401
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Country | US
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Telephone | 870-932-4211
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Fax | 870-931-9141
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Provider Business Mailing Address
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Address Line | 3613 RIVIERA DR
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City | JONESBORO
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State | AR
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Zip | 72404-6848
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Country | US
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Telephone | 870-268-0053
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | E-4830
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License Number State | AR
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