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General NPI Number Information
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NPI Number | 1598876849
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Entity Type | Organization
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Legal Business Name | HEIDI PARADELA-AYAP MD INC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 115 NORTH JACKSON AVENUE SUITE 101
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City | SAN JOSE
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State | CA
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Zip | 95116-1924
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Country | US
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Telephone | 408-347-8068
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Fax | 408-347-8612
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Provider Business Mailing Address
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Address Line | 115 NORTH JACKSON AVENUE SUITE 101
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City | SAN JOSE
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State | CA
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Zip | 95116-1924
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Country | US
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Telephone | 408-347-8068
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Fax | 408-347-8612
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Authorized Official
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Title or Position | PRESIDENT
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Name | HEIDI PARADELA AYAP
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Credential | MD
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Telephone | 408-347-8068
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A52631
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License Number State | CA
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