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General NPI Number Information
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NPI Number | 1225182025
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Entity Type | Organization
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Legal Business Name | WILLIAM P AULL,M.D.
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 15332 ANTIOCH ST SUITE 120
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City | PACIFIC PALISADES
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State | CA
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Zip | 90272-3603
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Country | US
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Telephone | 310-454-3363
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Fax |
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Provider Business Mailing Address
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Address Line | 17160 AVENIDA DE SANTA YNEZ
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City | PACIFIC PALISADES
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State | CA
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Zip | 90272-2133
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Country | US
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Telephone | 310-454-3363
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM P AULL
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Credential | M.D.
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Telephone | 310-454-3363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | G50609
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License Number State | CA
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