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General NPI Number Information
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NPI Number | 1245272160
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Entity Type | Individual
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Provider Name | ELAINE ANNE PAUL M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 02/21/2022
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Provider Practice Location Address
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Address Line | 500 S CLEVELAND AVE
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City | WESTERVILLE
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State | OH
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Zip | 43081-8971
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Country | US
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Telephone | 380-898-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 10189 WIDDINGTON CLOSE
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City | POWELL
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State | OH
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Zip | 43065-9059
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Country | US
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Telephone |
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Fax |
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 350465825P
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 35.046525
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License Number State | OH
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