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NPI Code Detail

MEDICARE: JACQUELINE PAUL MD

MEDICARE: JACQUELINE PAUL MD
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
1207R00000XInternal Medicine PhysicianA46379CA
2207RG0300XGeriatric Medicine (Internal Medicine) PhysicianA46379CA

General Provider Information

NPI Number : 1134232473
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE PAUL MD
Provider Business Mailing Address
First Line : PO BOX 1559
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93302-1559
Country : US
Telephone Number : 661-635-3050
Fax Number : 661-869-1503
Provider Business Practice Location Address
First Line : 815 DR MARTIN LUTHER KING JR BLVD
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93307-1365
Country : US
Telephone Number : 661-322-3905
Fax Number : 661-322-1370
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2006
Last Update Date : 01/18/2012

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Directions to “ JACQUELINE PAUL MD” Practice Location

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