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General NPI Number Information
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NPI Number | 1326575846
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Entity Type | Individual
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Provider Name | RYAN SCOTT PAULSON DO
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Gender | Male
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Dates
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Enumeration Date | 05/15/2017
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 1028 N CHURCH ST
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City | GREENVILLE
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State | SC
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Zip | 29601-1639
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Country | US
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Telephone | 864-271-1464
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Fax | 877-379-2854
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Provider Business Mailing Address
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Address Line | PO BOX 639856
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City | CINCINNATI
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State | OH
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Zip | 45263-9856
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | S4840
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 91348
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License Number State | SC
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