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General NPI Number Information
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NPI Number | 1407564909
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Entity Type | Organization
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Legal Business Name | PADUA HEALTH, INC.
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Dates
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Enumeration Date | 11/14/2022
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 1422 W MAIN ST STE 100
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City | LEWISVILLE
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State | TX
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Zip | 75067
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Country | US
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Telephone | 469-578-8240
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Fax | 888-251-0639
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Provider Business Mailing Address
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Address Line | PO BOX 112506
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City | CARROLLTON
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State | TX
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Zip | 75011
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Country | US
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Telephone | 469-578-8240
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Fax | 888-251-0639
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Authorized Official
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Title or Position | CEO
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Name | RAUL LEMUS
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Credential |
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Telephone | 956-821-8483
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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