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General NPI Number Information
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NPI Number | 1609062074
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Entity Type | Organization
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Legal Business Name | PAT J KULPA MD PS
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Dates
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Enumeration Date | 09/19/2007
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Last Update Date | 09/19/2007
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Provider Practice Location Address
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Address Line | 7282 STINSON AVE SUITE C
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City | GIG HARBOR
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State | WA
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Zip | 98335
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Country | US
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Telephone | 253-851-2922
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Fax | 253-851-9487
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Provider Business Mailing Address
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Address Line | PO BOX 2237
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City | GIG HARBOR
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State | WA
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Zip | 98335
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Country | US
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Telephone | 253-851-2922
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Fax | 253-851-9487
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAT J KULPA
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Credential | MD
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Telephone | 253-851-2922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | MD00026032
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License Number State | WA
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