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General NPI Number Information
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NPI Number | 1235132226
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Entity Type | Individual
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Provider Name | EDWARD DAVID PAUL D.D.S., M.S. F.A.G.D
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Gender | Male
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 08/08/2018
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Provider Practice Location Address
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Address Line | 161 EAST AVE STE 202
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City | NORWALK
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State | CT
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Zip | 06851
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Country | US
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Telephone | 203-838-3938
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Fax |
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Provider Business Mailing Address
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Address Line | 161 EAST AVE STE 202
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City | NORWALK
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State | CT
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Zip | 06851-5710
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Country | US
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Telephone | 203-838-3938
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Fax | 203-866-5491
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7749
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 7749
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License Number State | CT
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