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General NPI Number Information
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NPI Number | 1881884013
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Entity Type | Organization
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Legal Business Name | PAUL MCANDREWS, M.D., INC.
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Dates
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Enumeration Date | 07/25/2007
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Last Update Date | 07/25/2007
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Provider Practice Location Address
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Address Line | 50 ALESSANDRO PL SUITE 115
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City | PASADENA
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State | CA
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Zip | 91105-3149
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Country | US
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Telephone | 626-405-1155
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Fax | 626-577-5606
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Provider Business Mailing Address
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Address Line | 50 ALESSANDRO PL SUITE 115
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City | PASADENA
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State | CA
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Zip | 91105-3149
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Country | US
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Telephone | 626-405-1155
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Fax | 626-577-5606
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAUL J MCANDREWS
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Credential | M.D.
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Telephone | 626-405-1155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G72048
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License Number State | CA
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