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General NPI Number Information
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NPI Number | 1902975998
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Entity Type | Individual
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Provider Name | PAUL JOSEPH GIORDANO N.D., L.D.N.
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Gender | Male
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 06/13/2011
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Provider Practice Location Address
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Address Line | 225 BROADWAY SUITE 209
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City | METHUEN
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State | MA
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Zip | 01844-3003
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Country | US
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Telephone | 978-688-7100
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Fax |
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Provider Business Mailing Address
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Address Line | 143 SEMINOLE AVE
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City | WALTHAM
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State | MA
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Zip | 02451-0858
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Country | US
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Telephone | 508-878-2415
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 1597
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | NT00000698
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License Number State | WA
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