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General NPI Number Information
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NPI Number | 1114985561
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Entity Type | Individual
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Provider Name | PAUL CHRISTOPHER PADYK MD
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Gender | Male
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 01/07/2015
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Provider Practice Location Address
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Address Line | DEPT #0861
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City | DENVER
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State | CO
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Zip | 80256-0001
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Country | US
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Telephone | 866-898-7136
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Fax | 616-975-9824
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Provider Business Mailing Address
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Address Line | 167 1/2 LITTLE PARK RD
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City | GRAND JUNCTION
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State | CO
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Zip | 81503-1723
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Country | US
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Telephone | 970-257-9036
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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 | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | 33218
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License Number State | CO
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