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General NPI Number Information
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NPI Number | 1700310943
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Entity Type | Individual
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Provider Name | STEPHEN KYLE PAUL D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/14/2017
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 562 N MAIN ST
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City | SPRINGBORO
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State | OH
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Zip | 45066-9552
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Country | US
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Telephone | 937-883-5598
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Fax | 937-915-0908
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Provider Business Mailing Address
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Address Line | 5887 SPINNEY CT
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City | SPRINGBORO
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State | OH
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Zip | 45066-3500
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Country | US
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Telephone | 937-477-1597
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Fax | 937-915-0908
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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 | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | 34.015740
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 34.015740
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207RB0002X
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Taxonomy Name | Obesity Medicine (Internal Medicine) Physician
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License Number | 34.015740
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License Number State | OH
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