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General NPI Number Information
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NPI Number | 1649259912
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Entity Type | Individual
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Provider Name | PAULINE KNIGHT SAEDLER PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/13/2006
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Last Update Date | 07/17/2009
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Provider Practice Location Address
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Address Line | 1125 E 17TH STREET W 248
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City | SANTA ANA
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State | CA
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Zip | 92701
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Country | US
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Telephone | 714-547-5151
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Fax | 714-541-2016
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Provider Business Mailing Address
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Address Line | 1125 E 17TH STREET W-248
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City | SANTA ANA
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State | CA
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Zip | 92701
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Country | US
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Telephone | 714-547-5151
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Fax | 714-541-2016
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA17030
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License Number State | CA
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