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General NPI Number Information
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NPI Number | 1346285335
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Entity Type | Individual
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Provider Name | PAUL E THIELKING MD
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Gender | Male
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 02/18/2014
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Provider Practice Location Address
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Address Line | 524 BYRON
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City | HOWELL
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State | MI
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Zip | 48843
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Country | US
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Telephone | 517-545-6618
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Fax | 517-545-6485
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Provider Business Mailing Address
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Address Line | 24 FRANK LLOYD WRIGHT DR. PO BOX 0446 LOBBY J
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City | ANN ARBOR
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State | MI
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Zip | 48106
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Country | US
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Telephone | 734-747-6766
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Fax | 734-222-3100
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | PT054423
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License Number State | MI
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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 | 4301054423
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License Number State | MI
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