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General NPI Number Information
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NPI Number | 1376954529
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Entity Type | Individual
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Provider Name | PAUL HOESLY MD
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Gender | Male
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Dates
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Enumeration Date | 05/09/2014
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Last Update Date | 03/13/2024
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Provider Practice Location Address
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Address Line | 603 S KNICKERBOCKER DR
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City | SUNNYVALE
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State | CA
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Zip | 94087-1034
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Country | US
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Telephone | 408-736-0441
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Fax | 408-736-0722
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Provider Business Mailing Address
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Address Line | 3301 C ST STE 1300
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City | SACRAMENTO
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State | CA
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Zip | 95816-3370
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Country | US
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Telephone |
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | A170076
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License Number State | CA
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