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General NPI Number Information
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NPI Number | 1063448140
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Entity Type | Individual
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Provider Name | PAUL J DEAN PH.D.
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Gender | Male
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 2817 ROCK MERRITT AVE
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City | FORT BRAGG
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State | NC
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Zip | 28310-8708
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Country | US
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Telephone | 910-907-8922
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Fax |
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Provider Business Mailing Address
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Address Line | 874 LONG IRON DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28312-8708
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Country | US
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Telephone | 910-960-7510
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Fax |
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 4868
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License Number State | NC
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