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General NPI Number Information
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NPI Number | 1124258850
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Entity Type | Organization
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Legal Business Name | PAUL H. KEY MD, A MEDICAL CORPORATION
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Dates
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Enumeration Date | 07/15/2009
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Last Update Date | 05/07/2014
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Provider Practice Location Address
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Address Line | 5805 WHITE OAK AVE #18601
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City | ENCINO
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State | CA
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Zip | 91416-5001
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Country | US
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Telephone | 310-562-5943
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Fax | 818-988-3582
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Provider Business Mailing Address
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Address Line | 5805 WHITE OAK AVE #18601
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City | ENCINO
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State | CA
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Zip | 91416-5001
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Country | US
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Telephone | 310-562-5943
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Fax | 818-988-3582
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAUL HOWARD KEY
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Credential | M.D.
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Telephone | 310-562-5943
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | A26127
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License Number State | CA
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