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General NPI Number Information
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NPI Number | 1376514968
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Entity Type | Individual
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Provider Name | PAUL DIX DEVERS M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/31/2006
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 1 SHEFFIELD DR SUITE 101
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City | COLUMBUS
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State | NJ
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Zip | 08022-9549
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Country | US
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Telephone | 609-668-6797
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Fax | 609-668-6798
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Provider Business Mailing Address
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Address Line | 7000 ATRIUM WAY STE 6
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City | MOUNT LAUREL
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State | NJ
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Zip | 08054-3917
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Country | US
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Telephone | 609-668-6797
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Fax | 609-668-6798
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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 | MD070258L
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License Number State | PA
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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 | 25MA07834000
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License Number State | NJ
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