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General NPI Number Information
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NPI Number | 1528069341
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Entity Type | Organization
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Legal Business Name | PAULS ORTHOPEDIC APPLIANCES
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Dates
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Enumeration Date | 08/02/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2407 OCEAN AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94127-2606
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Country | US
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Telephone | 415-584-4040
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Fax | 650-878-5998
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Provider Business Mailing Address
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Address Line | 2407 OCEAN AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94127-2606
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Country | US
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Telephone | 415-584-4040
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Fax | 650-878-5998
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Authorized Official
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Title or Position | CERTIFIED ORTHOTIST
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Name | PAUL D CHAVEZ
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Credential | CO
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Telephone | 415-584-4040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State | CA
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