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General NPI Number Information
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NPI Number | 1568581999
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Entity Type | Organization
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Legal Business Name | PAUL J ENDRY
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 07/23/2010
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Provider Practice Location Address
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Address Line | 1 PAGE AVE SUITE 118
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City | ASHEVILLE
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State | NC
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Zip | 28801-2382
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Country | US
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Telephone | 828-253-3533
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Fax | 828-253-3389
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Provider Business Mailing Address
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Address Line | 1 PAGE AVE SUITE 118
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City | ASHEVILLE
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State | NC
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Zip | 28801-2382
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Country | US
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Telephone | 828-253-3533
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Fax | 828-253-3389
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Authorized Official
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Title or Position | OWNER
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Name | DR. PAUL JOSEPH ENDRY
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Credential | O.D.
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Telephone | 828-253-3533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 1206
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License Number State | NC
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