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General NPI Number Information
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NPI Number | 1861497810
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Entity Type | Individual
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Provider Name | CHRISTINE S CLAYTON C.N.P.
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Gender | Female
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 11/10/2014
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Provider Practice Location Address
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Address Line | SAN DIEGO VA HEALTHCARE 3350 LA JOLLA DR
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City | SAN DIEGO
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State | CA
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Zip | 92161-0001
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Country | US
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Telephone | 858-552-8585
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Fax |
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Provider Business Mailing Address
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Address Line | SAN DIEGO VA HEALTHCARE SYSTEM 3350 LA JOLLA VLG
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City | SAN DIEGO
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State | CA
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Zip | 92161-0001
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Country | US
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Telephone | 858-552-8585
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | CNP0138
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License Number State | SD
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP95001003
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License Number State | CA
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