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General NPI Number Information
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NPI Number | 1962820498
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Entity Type | Individual
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Provider Name | JENSARA CLAY MD
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Gender | Female
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Dates
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Enumeration Date | 04/01/2014
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 2041 GEORGIA AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20060-0001
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Country | US
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Telephone | 202-865-7671
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Fax | 202-865-4174
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Provider Business Mailing Address
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Address Line | 2041 GEORGIA AVE NW # 3C03
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City | WASHINGTON
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State | DC
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Zip | 20060-0001
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Country | US
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Telephone | 202-865-7671
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Fax | 202-865-4174
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | D85955
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | 141686
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | MD600001973
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License Number State | DC
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