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General NPI Number Information
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NPI Number | 1528000510
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Entity Type | Individual
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Provider Name | PAUL TIMOTHY CARRELL MD
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Gender | Male
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 04/16/2014
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Provider Practice Location Address
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Address Line | 8140 N MO PAC EXPY BUILDING 3, SUITE 210
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City | AUSTIN
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State | TX
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Zip | 78759-8837
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Country | US
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Telephone | 512-343-2292
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Fax | 512-343-2745
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Provider Business Mailing Address
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Address Line | 8140 N MO PAC EXPY BUILDING 3, SUITE 210
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City | AUSTIN
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State | TX
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Zip | 78759-8862
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Country | US
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Telephone | 512-343-2292
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Fax | 512-343-2745
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | M5084
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License Number State | TX
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