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General NPI Number Information
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NPI Number | 1184893174
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Entity Type | Organization
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Legal Business Name | GERALD M PAUL M D A MEDICAL CORPORATION
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Dates
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Enumeration Date | 02/25/2008
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Last Update Date | 01/12/2009
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Provider Practice Location Address
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Address Line | 18370 BURBANK BLVD SUITE 614
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City | TARZANA
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State | CA
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Zip | 91356-2804
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Country | US
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Telephone | 818-996-6800
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Fax | 818-996-2929
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Provider Business Mailing Address
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Address Line | 19147 MAYALL ST
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City | NORTHRIDGE
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State | CA
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Zip | 91324-1255
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Country | US
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Telephone | 818-996-6800
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Fax | 818-996-2929
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | DR. GERALD M PAUL
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Credential | M.D.
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Telephone | 818-996-6800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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