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General NPI Number Information
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NPI Number | 1053324095
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Entity Type | Individual
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Provider Name | GREGORY M PAUL MD
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Gender | Male
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 150 SETTLEMENT DR STE E
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City | BASTROP
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State | TX
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Zip | 78602-9662
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Country | US
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Telephone | 512-303-3963
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Fax | 512-303-6366
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Provider Business Mailing Address
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Address Line | 1009 N GEORGETOWN ST
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City | ROUND ROCK
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State | TX
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Zip | 78664-3289
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Country | US
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Telephone | 512-255-1720
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Fax | 512-244-8371
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | CDR.004259
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License Number State | CO
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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 | A94621
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License Number State | CA
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