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General NPI Number Information
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NPI Number | 1346916525
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Entity Type | Individual
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Provider Name | PAUL AUTH PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 08/18/2021
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Last Update Date | 08/14/2024
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Provider Practice Location Address
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Address Line | 76359 AL HIGHWAY 77 STE B&C
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City | LINCOLN
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State | AL
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Zip | 35096-5043
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Country | US
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Telephone | 205-666-5511
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Fax |
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Provider Business Mailing Address
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Address Line | 790 REMINGTON BLVD
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City | BOLINGBROOK
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State | IL
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Zip | 60440-4909
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Country | US
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Telephone | 866-370-8206
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Fax | 517-435-3670
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTH11983
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License Number State | AL
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