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General NPI Number Information
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NPI Number | 1154383875
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Entity Type | Individual
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Provider Name | PAUL WINDHAM M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/06/2006
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Last Update Date | 12/21/2025
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Provider Practice Location Address
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Address Line | 1915 HARRISON AVE STE A
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City | EUREKA
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State | CA
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Zip | 95501-3230
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Country | US
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Telephone | 707-497-6342
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Fax | 707-497-6234
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Provider Business Mailing Address
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Address Line | 3144 BROADWAY STE 4-314
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City | EUREKA
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State | CA
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Zip | 95501-3838
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Country | US
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Telephone | 707-497-6342
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Fax | 707-497-6234
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | G57950
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | G057950
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License Number State | CA
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