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General NPI Number Information
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NPI Number | 1790784742
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Entity Type | Organization
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Legal Business Name | PAUL V WOOLLEY, MD, PC
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Dates
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Enumeration Date | 07/20/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 88 OSBORNE ST
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City | JOHNSTOWN
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State | PA
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Zip | 15905-4146
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Country | US
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Telephone | 814-536-7510
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Fax | 814-536-7527
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Provider Business Mailing Address
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Address Line | PO BOX 488
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City | JOHNSTOWN
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State | PA
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Zip | 15907-0488
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Country | US
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Telephone | 814-536-7510
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Fax | 814-536-7527
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | PAUL V WOOLLEY
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Credential | MD
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Telephone | 814-536-7510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MD046527L
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License Number State | PA
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