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NPI Code Detail

MEDICARE: PAULE THOMAS NP

MEDICARE: PAULE THOMAS NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerARNP9214776FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104220581
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAULE THOMAS NP
Provider Business Mailing Address
First Line : 2589 N STATE ROAD 7
Second Line : CHEN MEDICAL LAUDERHILL, INC
City : LAUDERDALE LAKES
State : FL
Zip : 33313-2778
Country : US
Telephone Number : 954-714-1264
Fax Number : 954-714-1271
Provider Business Practice Location Address
First Line : 2589 N STATE ROAD 7
Second Line : CHEN MEDICAL LAUDERHILL, INC
City : LAUDERDALE LAKES
State : FL
Zip : 33313-2778
Country : US
Telephone Number : 954-714-1264
Fax Number : 954-714-1271
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2014
Last Update Date : 11/19/2014

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