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General NPI Number Information
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NPI Number | 1689824922
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Entity Type | Organization
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Legal Business Name | PAUL J. PAWLOSKY OB-GYN, INC.
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Dates
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Enumeration Date | 09/23/2008
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Last Update Date | 08/09/2011
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Provider Practice Location Address
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Address Line | 1989 MIAMISBURG CENTERVILLE RD SUITE 302
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City | CENTERVILLE
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State | OH
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Zip | 45459-3859
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Country | US
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Telephone | 937-528-6890
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Fax | 937-528-6893
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Provider Business Mailing Address
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Address Line | 1989 MIAMISBURG CENTERVILLE RD SUITE 302
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City | CENTERVILLE
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State | OH
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Zip | 45459-3859
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Country | US
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Telephone | 937-528-6890
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Fax | 937-528-6893
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAUL J PAWLOSKY
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Credential | DO
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Telephone | 937-748-3347
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 34004550
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License Number State | OH
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