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General NPI Number Information
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NPI Number | 1780692996
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Entity Type | Individual
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Provider Name | RICHARD PAULSEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 12/13/2018
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Provider Practice Location Address
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Address Line | 401 N SENATE AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46204-1244
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Country | US
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Telephone | 502-587-4231
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7159
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City | LOUISVILLE
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State | KY
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Zip | 40257-0159
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Country | US
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Telephone | 502-896-9793
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Fax | 502-896-6695
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 32129
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License Number State | KY
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