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General NPI Number Information
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NPI Number | 1275658940
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Entity Type | Individual
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Provider Name | PAUL JOSEPH GAGNE DPT
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Gender | Male
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 730 MOUNT AIRYSHIRE BLVD
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City | COLUMBUS
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State | OH
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Zip | 43235-1364
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Country | US
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Telephone | 614-888-7288
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Fax |
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Provider Business Mailing Address
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Address Line | 241 WILLOWDOWN CT
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City | COLUMBUS
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State | OH
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Zip | 43235-7027
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Country | US
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Telephone | 419-290-5550
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 7600
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 014372
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License Number State | OH
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