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General NPI Number Information
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NPI Number | 1396707485
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Entity Type | Individual
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Provider Name | PAUL WENDER M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/04/2006
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Last Update Date | 08/17/2015
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Provider Practice Location Address
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Address Line | ABJ SURGERY CENTER 104 ST MATTHEWS AVE
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City | SAN MATEO
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State | CA
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Zip | 94401
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Country | US
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Telephone | 415-637-9956
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Fax | 415-681-3641
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Provider Business Mailing Address
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Address Line | PO BOX 22545
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City | SAN FRANCISCO
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State | CA
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Zip | 94122-0545
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Country | US
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Telephone | 415-637-9956
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Fax | 415-681-3641
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | G76861
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License Number State | CA
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