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General NPI Number Information
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NPI Number | 1639179500
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Entity Type | Individual
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Provider Name | MICHAEL PAOLUCCI MD
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Gender | Male
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Dates
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Enumeration Date | 07/21/2005
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 3330 S RIO GRANDE AVE
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City | MONTROSE
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State | CO
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Zip | 81401-4847
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Country | US
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Telephone | 970-497-5979
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Fax | 970-497-5983
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Provider Business Mailing Address
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Address Line | 2920 N CASCADE AVE STE 301
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-6265
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Country | US
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Telephone | 719-636-1201
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Fax | 719-636-1326
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | J2249
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | DR.0066635
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License Number State | CO
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