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General NPI Number Information
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NPI Number | 1205067642
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Entity Type | Individual
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Provider Name | DEVON MAURINE PALDI AU.D.
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Gender | Female
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Dates
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Enumeration Date | 08/03/2009
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Last Update Date | 08/03/2009
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Provider Practice Location Address
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Address Line | 3181 SW SAM JACKSON PARK RD SUITE 250 PV01
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City | PORTLAND
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State | OR
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Zip | 97239-3011
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Country | US
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Telephone | 503-494-5171
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Fax | 503-494-1772
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Provider Business Mailing Address
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Address Line | 3181 SW SAM JACKSON PARK RD SUITE 250 PV01
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City | PORTLAND
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State | OR
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Zip | 97239-3011
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Country | US
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Telephone | 503-494-5171
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Fax | 503-494-1772
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 22700
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | HAS-P-10113296
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License Number State | OR
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