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General NPI Number Information
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NPI Number | 1699844456
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Entity Type | Organization
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Legal Business Name | PATRICK C E PAIK MD MED CORP
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 09/27/2007
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Provider Practice Location Address
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Address Line | 600 N GARFIELD AVENUE SUITE 312
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City | MONTEREY PARK
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State | CA
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Zip | 91754-1171
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Country | US
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Telephone | 626-280-0584
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Fax | 626-280-3039
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Provider Business Mailing Address
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Address Line | 600 N GARFIELD AVENUE SUITE 312
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City | MONTEREY PARK
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State | CA
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Zip | 91754-1171
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Country | US
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Telephone | 626-280-0584
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Fax | 626-280-3039
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Authorized Official
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Title or Position | PRESIDENT
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Name | PATRICK C E PAIK
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Credential | MD
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Telephone | 626-280-0584
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | A32957
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A32957
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License Number State | CA
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