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General NPI Number Information
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NPI Number | 1982890489
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Entity Type | Individual
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Provider Name | PAUL GREGORY SALADINO MD
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Gender | Male
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Dates
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Enumeration Date | 09/18/2007
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Last Update Date | 08/29/2019
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Provider Practice Location Address
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Address Line | 400 STEVENS AVE SUITE 400
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City | SOLANA BEACH
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State | CA
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Zip | 92075
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Country | US
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Telephone | 541-848-2815
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Fax |
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Provider Business Mailing Address
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Address Line | 2124 EDINBURG AVE
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City | CARDIFF
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State | CA
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Zip | 92007-1805
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Country | US
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Telephone | 541-848-2815
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA01265
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD60763215
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License Number State | WA
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