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General NPI Number Information
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NPI Number | 1376578351
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Entity Type | Individual
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Provider Name | PAUL J. BRODY D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 07/17/2018
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Provider Practice Location Address
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Address Line | 3831 HUGHES AVE STE 700
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City | CULVER CITY
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State | CA
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Zip | 90232
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Country | US
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Telephone | 310-837-3668
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Fax | 310-837-3015
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Provider Business Mailing Address
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Address Line | 3831 HUGHES AVE STE 700
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City | CULVER CITY
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State | CA
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Zip | 90232-2751
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Country | US
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Telephone | 310-837-3668
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Fax | 310-837-3015
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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 | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 2031
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | E2963
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | E2963
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License Number State | CA
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