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General NPI Number Information
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NPI Number | 1518962661
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Entity Type | Individual
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Provider Name | JAMES JUDE PARAISO DO
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Gender | Male
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 03/19/2019
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Provider Practice Location Address
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Address Line | 2102 SW 20TH PL STE 101
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City | OCALA
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State | FL
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Zip | 34471-0861
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Country | US
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Telephone | 352-873-7770
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Fax | 352-873-7704
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Provider Business Mailing Address
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Address Line | PO BOX 848640
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City | BOSTON
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State | MA
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Zip | 02284-0640
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Country | US
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Telephone | 352-873-7770
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Fax |
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | OS 9151
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License Number State | FL
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