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Individual
DR. PAUL THANANOPAVARN
Active
Individual
DR. PAUL THANANOPAVARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2008-00479
NC
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2008-00479
NC
Other
Enumeration date
08/22/2007
Last updated
04/07/2021
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