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General NPI Number Information
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NPI Number | 1669712808
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Entity Type | Individual
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Provider Name | KATHRYN THERESA PAJAK MD
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Gender | Female
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Dates
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Enumeration Date | 02/26/2013
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Last Update Date | 02/26/2013
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Provider Practice Location Address
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Address Line | 5659 S OAK PARK AVE
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City | CHICAGO
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State | IL
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Zip | 60638-3227
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Country | US
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Telephone | 714-398-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 16971 WESTPORT DR
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92649-4218
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Country | US
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Telephone | 714-398-7000
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Fax |
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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 | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | 036074045
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License Number State | IL
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