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NPI Code Detail

MEDICARE: PAUL MERLE KURLANCHEEK

MEDICARE:   PAUL MERLE KURLANCHEEK
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1467097089
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL MERLE KURLANCHEEK
Provider Business Mailing Address
First Line : 696 SUNNY SOUTH AVE
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33436-1815
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4020 LAKE WORTH RD
Second Line :
City : PALM SPRINGS
State : FL
Zip : 33461-3918
Country : US
Telephone Number : 717-925-6149
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2019
Last Update Date : 11/07/2019

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Directions to “ PAUL MERLE KURLANCHEEK ” Practice Location

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