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General NPI Number Information
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NPI Number | 1871902817
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Entity Type | Organization
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Legal Business Name | PAULUS LLC
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Dates
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Enumeration Date | 08/04/2014
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Last Update Date | 04/05/2023
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Provider Practice Location Address
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Address Line | 981 ROUTE 33 STE C
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City | MONROE
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State | NJ
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Zip | 08831-5923
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Country | US
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Telephone | 732-483-4611
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Fax | 848-480-0070
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Provider Business Mailing Address
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Address Line | 981 ROUTE 33 STE C
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City | MONROE
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State | NJ
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Zip | 08831-5923
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Country | US
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Telephone | 732-483-4611
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Fax | 848-480-0070
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. HEBJAN R PAULUS
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Credential |
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Telephone | 732-483-4611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HP0185500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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