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General NPI Number Information
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NPI Number | 1730272063
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Entity Type | Individual
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Provider Name | PHANI KUMAR PARUCHURI M.D
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Gender | Male
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Dates
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Enumeration Date | 09/30/2006
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 1301 N ROSE DR
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City | PLACENTIA
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State | CA
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Zip | 92870-3802
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Country | US
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Telephone | 714-524-4252
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Fax | 714-524-4866
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Provider Business Mailing Address
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Address Line | PO BOX 640
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City | YORBA LINDA
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State | CA
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Zip | 92885-0640
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Country | US
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Telephone | 714-269-5738
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Fax | 714-695-1774
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A64174
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | A64174
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License Number State | CA
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