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General NPI Number Information
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NPI Number | 1962607721
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Entity Type | Individual
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Provider Name | PAUL RAJESH PURI M.D
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Gender | Male
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Dates
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Enumeration Date | 06/20/2007
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Last Update Date | 08/21/2013
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Provider Practice Location Address
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Address Line | 11980 SAN VICENTE BLVD SUITE 710
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City | LOS ANGELES
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State | CA
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Zip | 90049-5012
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Country | US
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Telephone | 310-989-2614
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Fax |
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Provider Business Mailing Address
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Address Line | 11693 SAN VICENTE BLVD BOX #443
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City | LOS ANGELES
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State | CA
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Zip | 90049-5105
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Country | US
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Telephone | 310-989-2614
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A106265
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License Number State | CA
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