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General NPI Number Information
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NPI Number | 1093507170
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Entity Type | Organization
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Legal Business Name | STEPHEN PAULUS DO PLLC
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Dates
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Enumeration Date | 05/22/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 145 PINE HAVEN SHORES RD STE 2061
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City | SHELBURNE
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State | VT
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Zip | 05482-7815
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Country | US
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Telephone | 802-489-5470
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Fax | 802-497-0867
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Provider Business Mailing Address
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Address Line | 145 PINE HAVEN SHORES RD STE 2061
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City | SHELBURNE
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State | VT
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Zip | 05482-7815
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Country | US
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Telephone | 802-489-5470
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Fax | 802-497-0867
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. STEPHEN PAULUS
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Credential | DO
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Telephone | 802-489-5470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number |
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License Number State |
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