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General NPI Number Information
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NPI Number | 1811087786
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Entity Type | Individual
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Provider Name | PAULSEN COLEMAN ARNOLD O.D.
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Gender | Male
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 07/01/2021
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Provider Practice Location Address
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Address Line | 232 GREEN ST
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City | WILLIAMSTON
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State | NC
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Zip | 27892-2000
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Country | US
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Telephone | 252-792-6611
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Fax | 252-799-0797
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Provider Business Mailing Address
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Address Line | 2108 N PATTERSON ST
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City | VALDOSTA
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State | GA
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Zip | 31602-2947
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Country | US
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Telephone | 229-244-3000
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Fax | 229-244-0399
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1696
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License Number State | NC
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