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General NPI Number Information
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NPI Number | 1760446108
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Entity Type | Individual
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Provider Name | JARED PAULSON L.AC., MTCM.
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Gender | Male
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Dates
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Enumeration Date | 04/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1762 HOFFMAN DR
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City | LOVELAND
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State | CO
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Zip | 80538-4292
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Country | US
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Telephone | 970-667-1225
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Fax | 970-667-1445
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Provider Business Mailing Address
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Address Line | 1762 HOFFMAN DR
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City | LOVELAND
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State | CO
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Zip | 80538-4292
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Country | US
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Telephone | 970-667-1225
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Fax | 970-667-1445
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 1016
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License Number State | CO
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