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General NPI Number Information
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NPI Number | 1558755181
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Entity Type | Organization
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Legal Business Name | PARAYNO M D INC
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Dates
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Enumeration Date | 03/20/2015
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Last Update Date | 03/20/2015
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Provider Practice Location Address
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Address Line | 1410 KERN ST 102
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City | FRESNO
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State | CA
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Zip | 93706-3322
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Country | US
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Telephone | 559-374-5543
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Fax | 559-374-5546
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Provider Business Mailing Address
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Address Line | 1410 KERN ST 102
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City | FRESNO
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State | CA
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Zip | 93706-3322
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Country | US
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Telephone | 559-374-5543
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Fax | 559-374-5546
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. MAXIMO ALANO PARAYNO JR.
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Credential | M.D.
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Telephone | 559-374-5543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | A33871
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License Number State | CA
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