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NPI 1093043952

NPI 1093043952 : PAUL HAGOPIAN : SAN CLEMENTE, CA

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General NPI Number Information
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    NPI Number           |    1093043952
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    Entity Type          |    Individual 
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    Provider Name        |    PAUL HAGOPIAN
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/03/2009
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    Last Update Date     |    01/25/2018
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Provider Practice Location Address
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    Address Line         |    29 PASEO LUNA 
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    City                 |    SAN CLEMENTE
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    State                |    CA
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    Zip                  |    92673-6501
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    Country              |    US
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    Telephone            |    949-233-4876
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    Fax                  |    949-388-7819
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Provider Business Mailing Address
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    Address Line         |    29 PASEO LUNA 
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    City                 |    SAN CLEMENTE
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    State                |    CA
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    Zip                  |    92673-6501
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    Country              |    US
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    Telephone            |    949-233-4876
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    Fax                  |    949-388-7819
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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        |    247200000X
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    Taxonomy Name        |    Other Technician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    171R00000X
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    Taxonomy Name        |    Interpreter
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    License Number       |    
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    License Number State |    
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