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General NPI Number Information
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NPI Number | 1669442679
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Entity Type | Individual
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Provider Name | PAUL JOSEPH KAULIUS D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 01/23/2006
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Last Update Date | 09/22/2010
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Provider Practice Location Address
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Address Line | 6900 HAMILTON BLVD
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City | TREXLERTOWN
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State | PA
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Zip | 18087
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Country | US
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Telephone | 610-481-9455
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Fax | 610-481-9997
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Provider Business Mailing Address
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Address Line | 6900 HAMILTON BLVD PO BOX 60
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City | TREXLERTOWN
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State | PA
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Zip | 18087-9100
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Country | US
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Telephone | 610-481-9455
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Fax | 610-481-9997
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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 | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | SC003112-L
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License Number State | PA
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