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General NPI Number Information
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NPI Number | 1356518989
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Entity Type | Individual
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Provider Name | RONALD A PAULUS M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/13/2008
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Last Update Date | 05/13/2008
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Provider Practice Location Address
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Address Line | 100 N ACADEMY AVE MC: 30-55
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City | DANVILLE
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State | PA
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Zip | 17822-3055
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Country | US
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Telephone | 570-214-8126
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Fax | 570-214-5070
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Provider Business Mailing Address
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Address Line | 205 YORK RD
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City | LEWISBURG
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State | PA
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Zip | 17837-8514
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Country | US
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Telephone | 570-524-3551
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Fax | 570-524-0507
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | G66423
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License Number State | CA
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