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General NPI Number Information
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NPI Number | 1861805962
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Entity Type | Individual
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Provider Name | PAUL MATTHEW DILLAWAY DO
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Gender | Male
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Dates
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Enumeration Date | 06/05/2014
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 9380 SW 150TH ST STE 230
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City | MIAMI
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State | FL
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Zip | 33176-7947
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Country | US
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Telephone | 844-665-4827
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Fax |
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Provider Business Mailing Address
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Address Line | 8400 NW 33RD ST STE 201
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City | DORAL
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State | FL
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Zip | 33122-1937
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Country | US
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Telephone | 844-665-4827
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 006830
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License Number State | AZ
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