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General NPI Number Information
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NPI Number | 1932280443
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Entity Type | Organization
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Legal Business Name | PAUL W AUFDERHEIDE DPM
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 01/22/2008
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Provider Practice Location Address
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Address Line | 9633 LEVIN RD NW PAUL W AUFDERHEIDE SUITE 202
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City | SILVERDALE
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State | WA
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Zip | 98383
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Country | US
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Telephone | 360-698-2505
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Fax | 360-698-2514
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Provider Business Mailing Address
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Address Line | 9633 LEVIN RD NW PAUL W AUFDERHEIDE SUITE 202
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City | SILVERDALE
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State | WA
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Zip | 98383-8131
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Country | US
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Telephone | 360-698-2505
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Fax | 360-698-2514
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Authorized Official
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Title or Position | OWNER
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Name | DR. PAUL W AUFDERHEIDE
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Credential | DPM
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Telephone | 360-698-2505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO00000335
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License Number State | WA
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