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General NPI Number Information
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NPI Number | 1295205037
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Entity Type | Organization
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Legal Business Name | PAUL W. DAUM, M.D., P.L.L.C.
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Dates
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Enumeration Date | 12/04/2018
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Last Update Date | 05/19/2021
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Provider Practice Location Address
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Address Line | 2800 E BROAD ST STE 412
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City | MANSFIELD
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State | TX
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Zip | 76063-6414
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Country | US
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Telephone | 972-723-1023
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Fax |
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Provider Business Mailing Address
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Address Line | 2800 E BROAD ST STE 412
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City | MANSFIELD
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State | TX
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Zip | 76063-6414
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Country | US
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Telephone | 972-723-1023
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. PAUL W. DAUM
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Credential | MD
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Telephone | 817-477-0200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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