Provider Demographics
NPI:1053508861
Name:BURNETTE, PAUL F (CPO)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:F
Last Name:BURNETTE
Suffix:
Gender:M
Credentials:CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3155 KEARNEY ST STE 130
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-2268
Mailing Address - Country:US
Mailing Address - Phone:510-490-6400
Mailing Address - Fax:510-490-6446
Practice Address - Street 1:3155 KEARNEY ST STE 130
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-2268
Practice Address - Country:US
Practice Address - Phone:510-490-6400
Practice Address - Fax:510-490-6446
Is Sole Proprietor?:No
Enumeration Date:2007-09-26
Last Update Date:2007-09-26
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist