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General NPI Number Information
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NPI Number | 1922326099
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Entity Type | Individual
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Provider Name | PAUL MAUER PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 05/13/2010
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Last Update Date | 05/13/2010
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Provider Practice Location Address
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Address Line | 32121 CAMINO CAPISTRANO
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City | SAN JUAN CAPISTRANO
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State | CA
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Zip | 92675-3716
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Country | US
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Telephone | 949-493-2178
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Fax |
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Provider Business Mailing Address
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Address Line | 2012 VIA AGUILA
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City | SAN CLEMENTE
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State | CA
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Zip | 92673-5670
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Country | US
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Telephone | 949-498-8169
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Fax | 949-498-8172
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 36482
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License Number State | CA
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