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General NPI Number Information
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NPI Number | 1942114079
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Entity Type | Organization
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Legal Business Name | CLAYTON HEALTH AND WELLNESS CENTER INC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 8015 N MAIN ST
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City | DAYTON
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State | OH
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Zip | 45415-2250
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Country | US
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Telephone | 937-247-9102
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Fax | 818-584-8939
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Provider Business Mailing Address
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Address Line | 8015 N MAIN ST
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City | DAYTON
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State | OH
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Zip | 45415-2250
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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 | OWNER
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Name | EBENEZER ALUMA
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Credential | PA-C, PHD
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Telephone | 614-364-0429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | NULL
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