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General NPI Number Information
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NPI Number | 1427088426
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Entity Type | Individual
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Provider Name | PAUL CHARLES BRESSMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 05/14/2019
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Provider Practice Location Address
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Address Line | 8680 MONROE CT STE 250
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-4882
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Country | US
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Telephone | 909-948-5272
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Fax | 909-948-0748
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Provider Business Mailing Address
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Address Line | 1493 S CREST DR
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City | LOS ANGELES
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State | CA
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Zip | 90035-3339
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Country | US
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Telephone | 909-948-5272
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Fax | 909-948-0748
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | G22968
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License Number State | CA
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