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General NPI Number Information
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NPI Number | 1073765079
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Entity Type | Organization
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Legal Business Name | PAULSEN OB GYN
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Dates
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Enumeration Date | 10/21/2008
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Last Update Date | 09/14/2011
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Provider Practice Location Address
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Address Line | 5354 REYNOLDS ST SUITE 304
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City | SAVANNAH
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State | GA
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Zip | 31405-6007
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Country | US
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Telephone | 912-355-2800
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Fax | 912-355-9444
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Provider Business Mailing Address
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Address Line | 5354 REYNOLDS ST SUITE 304
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City | SAVANNAH
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State | GA
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Zip | 31405-6007
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Country | US
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Telephone | 912-355-2800
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Fax | 912-355-9444
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. REGINALD JEROME ROBINSON
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Credential | M.D
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Telephone | 912-355-2800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 46638
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License Number State | GA
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