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General NPI Number Information
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NPI Number | 1881779510
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Entity Type | Individual
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Provider Name | VALENCIA CLAY MD
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Gender | Female
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 06/02/2011
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Provider Practice Location Address
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Address Line | 4411 OAKWOOD DR
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City | CHATTANOOGA
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State | TN
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Zip | 37416-2367
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Country | US
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Telephone | 423-892-4289
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Fax | 423-553-1829
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Provider Business Mailing Address
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Address Line | 1089 CONSTITUTION DR
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City | CHATTANOOGA
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State | TN
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Zip | 37405-4246
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Country | US
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Telephone | 423-892-4289
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 38244
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 40348
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License Number State | GA
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