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General NPI Number Information
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NPI Number | 1477435576
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Entity Type | Individual
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Provider Name | PAUL J DELAKIS OD
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Gender | Male
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Dates
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Enumeration Date | 07/22/2025
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 4054 COMMONWEALTH AVE
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City | EAU CLAIRE
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State | WI
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Zip | 54701-9000
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Country | US
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Telephone | 715-833-1220
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Fax |
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Provider Business Mailing Address
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Address Line | 4054 COMMONWEALTH AVE
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City | EAU CLAIRE
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State | WI
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Zip | 54701-9000
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Country | US
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Telephone | 715-590-2735
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4091-35
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License Number State | WI
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