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General NPI Number Information
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NPI Number | 1639286867
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Entity Type | Individual
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Provider Name | JAMES PAUL KULIK MD
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Gender | Male
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3500 N INTERSTATE AVE
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City | PORTLAND
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State | OR
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Zip | 97227-1196
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Country | US
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Telephone | 503-285-9321
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 NW 32ND AVE
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City | PORTLAND
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State | OR
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Zip | 97210-1908
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Country | US
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Telephone | 503-220-1689
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | MD
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License Number State | OR
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