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General NPI Number Information
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NPI Number | 1851363519
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Entity Type | Organization
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Legal Business Name | ELAINE WILLIAMS PAULIN
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Dates
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Enumeration Date | 02/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 930 GRAND CONCOURSE
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City | BRONX
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State | NY
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Zip | 10451
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Country | US
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Telephone | 718-537-3392
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Fax |
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Provider Business Mailing Address
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Address Line | 325 EAST 7TH ST
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City | BROOKLYN
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State | NY
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Zip | 11218
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SELF PROPRIETER
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Name | ELAINE WILLIAMS PAULIN
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Credential |
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Telephone | 718-537-3392
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | N005937
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License Number State | NY
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