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General NPI Number Information
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NPI Number | 1730160607
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Entity Type | Individual
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Provider Name | PAUL R. BIGGS M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/08/2005
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Last Update Date | 10/01/2009
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Provider Practice Location Address
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Address Line | 1223 GATEWAY DRIVE
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City | MELBOURNE
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State | FL
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Zip | 32901-2607
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Country | US
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Telephone | 321-725-4500
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Fax | 321-409-1786
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Provider Business Mailing Address
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Address Line | 65 EAST NASA BLVD. SUITE 202
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City | MELBOURNE
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State | FL
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Zip | 32901
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Country | US
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Telephone | 321-733-0663
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Fax | 321-409-1786
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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 | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | ME41416
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License Number State | FL
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