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General NPI Number Information
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NPI Number | 1437668134
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Entity Type | Individual
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Provider Name | STEVEN THOMAS PAUL DPT, ATC
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Gender | Male
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Dates
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Enumeration Date | 09/25/2017
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 1265 LOMBARDI AVE
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City | GREEN BAY
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State | WI
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Zip | 54304-3927
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Country | US
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Telephone | 708-829-3415
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Fax |
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Provider Business Mailing Address
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Address Line | 6028 41ST AVE
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City | KENOSHA
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State | WI
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Zip | 53142-7025
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Country | US
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Telephone | 708-829-3415
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Fax |
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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 | 16048-24
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License Number State | WI
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