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General NPI Number Information
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NPI Number | 1992904502
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Entity Type | Organization
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Legal Business Name | PAUL J. NEUMANN, MD, PC
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Dates
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Enumeration Date | 07/13/2007
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Last Update Date | 08/08/2007
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Provider Practice Location Address
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Address Line | 1401 N 10TH AVE SUITE 100
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City | STAYTON
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State | OR
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Zip | 97383-1311
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Country | US
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Telephone | 503-769-6386
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Fax | 503-769-5647
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Provider Business Mailing Address
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Address Line | 1401 N 10TH AVE SUITE 100
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City | STAYTON
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State | OR
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Zip | 97383-1311
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Country | US
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Telephone | 503-769-6386
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Fax | 503-769-5647
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Authorized Official
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Title or Position | OWNER
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Name | PAUL J. NEUMANN
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Credential | M.D.
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Telephone | 503-769-6386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD24097
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License Number State | OR
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