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General NPI Number Information
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NPI Number | 1366414484
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Entity Type | Individual
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Provider Name | PAUL E TULLAR JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/02/2006
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Last Update Date | 11/03/2017
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Provider Practice Location Address
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Address Line | 1400 S COULTER ST
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City | AMARILLO
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State | TX
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Zip | 79106-1786
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Country | US
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Telephone | 806-414-9650
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Fax | 806-354-5730
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Provider Business Mailing Address
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Address Line | 1400 WALLACE BLVD
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City | AMARILLO
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State | TX
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Zip | 79106-1708
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Country | US
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Telephone | 806-414-9650
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Fax | 806-354-5730
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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 | E8985
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License Number State | TX
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