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General NPI Number Information
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NPI Number | 1962826602
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Entity Type | Organization
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Legal Business Name | JOSE PAUL LOOR DPM PLLC
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Dates
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Enumeration Date | 02/18/2014
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 315 E 108TH ST APT 1F
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City | NEW YORK
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State | NY
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Zip | 10029-4233
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Country | US
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Telephone | 718-777-9465
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Fax |
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Provider Business Mailing Address
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Address Line | 3607 LEHIGH DR
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City | NORTHAMPTON
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State | PA
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Zip | 18067-9638
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Country | US
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Telephone | 347-595-7569
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSE PAUL LOOR
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Credential | DPM
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Telephone | 347-595-7569
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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