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General NPI Number Information
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NPI Number | 1467761932
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Entity Type | Organization
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Legal Business Name | PARADIGM PHYSICIAN SERVICES, LLC
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Dates
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Enumeration Date | 10/01/2010
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Last Update Date | 01/13/2012
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Provider Practice Location Address
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Address Line | 5930 ROYAL LN STE E-129
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City | DALLAS
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State | TX
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Zip | 75230-3849
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Country | US
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Telephone | 903-450-8704
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Fax | 903-450-8997
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Provider Business Mailing Address
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Address Line | 5930 ROYAL LN STE E-129
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City | DALLAS
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State | TX
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Zip | 75230-3849
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Country | US
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Telephone | 903-450-8704
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Fax | 903-450-8997
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Authorized Official
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Title or Position | PRESIDENT
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Name | WON YI
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Credential | DO
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Telephone | 888-559-2666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | M2876
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License Number State | TX
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