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General NPI Number Information
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NPI Number | 1568090835
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Entity Type | Individual
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Provider Name | SHILPA PAUL MD
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Gender | Female
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Dates
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Enumeration Date | 03/31/2020
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 2855 CAMPUS DR STE 400
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City | PLYMOUTH
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State | MN
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Zip | 55441-2659
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Country | US
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Telephone | 763-577-7400
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Fax | 763-236-2650
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Provider Business Mailing Address
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Address Line | 2800 CHICAGO AVE
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City | MINNEAPOLIS
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State | MN
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Zip | 55407-1318
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Country | US
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Telephone | 612-262-9000
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 31429
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 72809
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 125.076944
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License Number State | IL
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