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General NPI Number Information
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NPI Number | 1619953742
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Entity Type | Individual
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Provider Name | PAUL J OPSAHL MD
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Gender | Male
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Dates
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Enumeration Date | 12/20/2005
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Last Update Date | 07/24/2024
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Provider Practice Location Address
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Address Line | 4353 E STATE ROUTE 73 STE 120
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City | WAYNESVILLE
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State | OH
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Zip | 45068-8814
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Country | US
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Telephone | 513-897-0085
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Fax | 513-897-0194
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Provider Business Mailing Address
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Address Line | 2912 SPRINGBORO W SUITE 201
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City | DAYTON
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State | OH
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Zip | 45439-1674
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Country | US
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Telephone | 513-897-0085
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Fax | 513-897-0194
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35047593
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License Number State | OH
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