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General NPI Number Information
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NPI Number | 1942695390
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Entity Type | Individual
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Provider Name | PAUL R OVERDORF JR. D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/02/2015
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 8670 E SHEA BLVD STE 102
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-6656
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Country | US
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Telephone | 602-726-4075
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Fax |
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Provider Business Mailing Address
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Address Line | 3700 N 24TH ST STE 210
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City | PHOENIX
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State | AZ
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Zip | 85016-6536
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Country | US
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Telephone | 602-840-0681
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Fax | 602-957-1570
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 007882
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License Number State | AZ
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