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General NPI Number Information
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NPI Number | 1700873940
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Entity Type | Individual
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Provider Name | PAUL HENRY JUENGEL MD
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Gender | Male
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Dates
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Enumeration Date | 10/03/2005
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Last Update Date | 06/28/2022
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Provider Practice Location Address
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Address Line | 3940 ARROWHEAD BLVD STE 210
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City | MEBANE
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State | NC
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Zip | 27302-7637
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Country | US
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Telephone | 919-563-9705
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Fax | 919-304-0057
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Provider Business Mailing Address
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Address Line | PO BOX 2
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City | BURLINGTON
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State | NC
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Zip | 27216-0002
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Country | US
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Telephone | 336-226-0660
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Fax | 336-227-6327
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 30050
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License Number State | NC
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