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General NPI Number Information
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NPI Number | 1063668309
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Entity Type | Individual
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Provider Name | MS. PAULA MARIE BEHRENS
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Gender | Female
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Dates
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Enumeration Date | 08/18/2008
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Last Update Date | 08/18/2008
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Provider Practice Location Address
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Address Line | 160 JUNIPER ST
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City | VACAVILLE
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State | CA
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Zip | 95688-2735
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Country | US
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Telephone | 707-592-6030
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Fax |
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Provider Business Mailing Address
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Address Line | 160 JUNIPER ST
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City | VACAVILLE
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State | CA
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Zip | 95688-2735
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Country | US
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Telephone | 707-469-7022
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 27423
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License Number State | CA
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