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General NPI Number Information
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NPI Number | 1174846620
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Entity Type | Organization
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Legal Business Name | DANIEL J PAULO MD PC
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Dates
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Enumeration Date | 03/11/2010
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Last Update Date | 03/11/2010
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Provider Practice Location Address
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Address Line | 1032 VICTORY BLVD
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City | STATEN ISLAND
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State | NY
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Zip | 10301-3622
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Country | US
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Telephone | 718-273-2800
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Fax | 718-876-7810
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Provider Business Mailing Address
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Address Line | 1032 VICTORY BLVD
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City | STATEN ISLAND
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State | NY
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Zip | 10301-3622
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Country | US
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Telephone | 718-273-2800
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Fax | 718-876-7810
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DANIEL J PAULO
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Credential | MD
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Telephone | 718-273-2800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 085615
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License Number State | NY
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