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General NPI Number Information
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NPI Number | 1073682225
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Entity Type | Organization
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Legal Business Name | JOANNE G PAGAL DO INC.
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 12/05/2012
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Provider Practice Location Address
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Address Line | 25431 CABOT RD SUITE 115
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-5518
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Country | US
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Telephone | 949-448-9728
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Fax | 949-448-9732
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Provider Business Mailing Address
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Address Line | 25431 CABOT RD SUITE 115
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-5518
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Country | US
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Telephone | 949-448-9728
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Fax | 949-448-9732
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JOANNE G PAGAL
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Credential | D.O.
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Telephone | 949-448-9728
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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 | 20A7492
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License Number State | CA
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