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General NPI Number Information
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NPI Number | 1477566974
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Entity Type | Organization
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Legal Business Name | PAUL M PUZISS MD PC
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3800 SW CEDAR HILLS BLVD SUITE 250
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City | BEAVERTON
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State | OR
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Zip | 97005-4760
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Country | US
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Telephone | 503-646-8995
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Fax | 503-644-4678
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Provider Business Mailing Address
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Address Line | 3800 SW CEDAR HILLS BLVD SUITE 250
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City | BEAVERTON
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State | OR
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Zip | 97005-4760
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Country | US
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Telephone | 503-646-8995
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Fax | 503-644-4678
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAUL M PUZISS
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Credential | MD
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Telephone | 503-646-8995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 11897
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License Number State | OR
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