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General NPI Number Information
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NPI Number | 1790246700
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Entity Type | Individual
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Provider Name | PAULINA KAISER MD
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Gender | Female
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Dates
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Enumeration Date | 03/31/2019
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Last Update Date | 05/15/2023
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Provider Practice Location Address
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Address Line | 519 MEMORIAL DR SE UNIT B10
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City | ATLANTA
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State | GA
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Zip | 30312-2289
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Country | US
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Telephone | 404-919-0530
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Fax | 734-270-4523
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Provider Business Mailing Address
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Address Line | 240 RENAISSANCE PKWY NE APT 103
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City | ATLANTA
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State | GA
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Zip | 30308-2349
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Country | US
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Telephone | 408-515-2102
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Fax |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 87984
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License Number State | GA
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