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General NPI Number Information
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NPI Number | 1811914815
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Entity Type | Individual
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Provider Name | PAUL R OURADNIK DPM
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Gender | Male
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 02/22/2022
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Provider Practice Location Address
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Address Line | 801 N 29TH ST
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City | BILLINGS
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State | MT
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Zip | 59101-0905
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Country | US
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Telephone | 406-238-5371
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Fax | 406-238-2856
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Provider Business Mailing Address
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Address Line | 400 E 3RD ST ESSENTIA HEALTH DULUTH CLINIC MCL2CRED
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City | DULUTH
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State | MN
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Zip | 55805-1951
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Country | US
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Telephone | 218-786-8364
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 958
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 162
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 1092.25
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License Number State | WI
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