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General NPI Number Information
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NPI Number | 1952243685
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Entity Type | Organization
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Legal Business Name | PAZ & BLOOM LLC
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Dates
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Enumeration Date | 04/09/2026
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Last Update Date | 04/09/2026
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Provider Practice Location Address
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Address Line | 21140 NW CANNES DR
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City | PORTLAND
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State | OR
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Zip | 97229-7123
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Country | US
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Telephone | 832-671-1475
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Fax |
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Provider Business Mailing Address
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Address Line | 7325 NE IMBRIE DR # 521
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City | HILLSBORO
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State | OR
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Zip | 97124-7595
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANA PAZ
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Credential | PT, DPT, CNT, NTMTC
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Telephone | 832-671-1475
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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