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General NPI Number Information
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NPI Number | 1043265507
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Entity Type | Individual
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Provider Name | PAUL HENRYS M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 09/15/2015
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Provider Practice Location Address
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Address Line | 100 NW 170TH SUITE 100
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City | MIAMI
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State | FL
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Zip | 33169-9800
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Country | US
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Telephone | 305-654-3000
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Fax | 305-654-3000
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Provider Business Mailing Address
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Address Line | 1190 N.W. 95TH STREET, SUITE 305
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City | MIAMI
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State | FL
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Zip | 33150-2066
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Country | US
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Telephone | 305-302-8858
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Fax | 305-693-6942
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME39185
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License Number State | FL
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