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General NPI Number Information
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NPI Number | 1275720831
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Entity Type | Organization
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Legal Business Name | PAULUS D TSAI MD PS
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Dates
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Enumeration Date | 09/27/2007
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Last Update Date | 09/27/2007
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Provider Practice Location Address
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Address Line | 530 BOGACHIEL WAY
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City | FORKS
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State | WA
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Zip | 98331-9120
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Country | US
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Telephone | 360-374-6998
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Fax | 360-374-3162
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Provider Business Mailing Address
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Address Line | PO BOX 2196
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City | SEQUIM
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State | WA
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Zip | 98382-2196
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Country | US
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Telephone | 360-461-3636
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Fax | 360-683-6488
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAULUS DARCY TSAI
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Credential | MD
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Telephone | 360-461-3636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | MD00043281
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License Number State | WA
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