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General NPI Number Information
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NPI Number | 1013714054
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Entity Type | Organization
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Legal Business Name | PAUL H BULLER MD
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Dates
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Enumeration Date | 02/27/2025
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 1302 COLLEGE AVE STE 1
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City | GOSHEN
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State | IN
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Zip | 46526-4939
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Country | US
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Telephone | 574-534-4880
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Fax | 574-534-4868
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Provider Business Mailing Address
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Address Line | 1302 COLLEGE AVE STE 1
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City | GOSHEN
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State | IN
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Zip | 46526-4939
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Country | US
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Telephone | 574-534-4880
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Fax | 574-534-4868
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. PAUL H BULLER
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Credential | MD
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Telephone | 574-534-4880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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