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NPI Code Detail

MEDICARE: CLAIRE ELIZABETH DOMINION

MEDICARE:   CLAIRE ELIZABETH DOMINION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251300000XLocal Education Agency (LEA)CA

General Provider Information

NPI Number : 1679437966
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAIRE ELIZABETH DOMINION
Provider Business Mailing Address
First Line : 327 JESSE ST
Second Line :
City : SEBASTOPOL
State : CA
Zip : 95472-3620
Country : US
Telephone Number : 408-472-9981
Fax Number :
Provider Business Practice Location Address
First Line : 6950 ANALY AVE
Second Line :
City : SEBASTOPOL
State : CA
Zip : 95472-3492
Country : US
Telephone Number : 707-824-2300
Fax Number : 707-634-7140
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2025
Last Update Date : 12/11/2025

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Directions to “ CLAIRE ELIZABETH DOMINION ” Practice Location

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