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General NPI Number Information
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NPI Number | 1659372449
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Entity Type | Individual
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Provider Name | CHARLES DAVID TULLIUS MD
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Gender | Male
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Dates
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Enumeration Date | 08/03/2005
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 225 S CENTER AVE
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City | SOMERSET
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State | PA
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Zip | 15501-2033
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Country | US
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Telephone | 800-394-4445
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Fax | 706-955-0735
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Provider Business Mailing Address
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Address Line | 779 SOUTHBRIDGE BLVD
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City | SAVANNAH
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State | GA
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Zip | 31405-8132
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Country | US
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Telephone | 412-260-9767
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 35539
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD-045423-L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 41014
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License Number State | GA
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