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General NPI Number Information
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NPI Number | 1427848845
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Entity Type | Organization
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Legal Business Name | PARAGON HEALTH PC
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 670 MALL DR
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City | PORTAGE
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State | MI
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Zip | 49024-2878
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Country | US
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Telephone | 269-491-3263
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Fax | 269-327-1560
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Provider Business Mailing Address
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Address Line | 670 MALL DR
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City | PORTAGE
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State | MI
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Zip | 49024-2878
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Country | US
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Telephone | 269-491-3263
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Fax | 269-327-1560
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | PATTI PIERMAN
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Credential |
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Telephone | 269-491-3263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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