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General NPI Number Information
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NPI Number | 1508176504
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Entity Type | Individual
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Provider Name | ALLISON EMILY PAULK PA
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Gender | Female
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Dates
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Enumeration Date | 10/12/2010
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Last Update Date | 01/26/2016
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Provider Practice Location Address
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Address Line | 2815 N LOOP 1604 E STE 105
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City | SAN ANTONIO
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State | TX
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Zip | 78232-1708
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Country | US
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Telephone | 210-495-2117
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Fax | 210-495-4349
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Provider Business Mailing Address
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Address Line | 8122 DATAPOINT DR STE 140
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3272
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Country | US
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Telephone | 210-293-6530
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Fax | 210-429-3653
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State | TX
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