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Individual
PAULO R.M. ANTUNES
Active
Individual
PAULO R.M. ANTUNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
017549
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000290101
PTAN
ME
01
—
200158
ANTHEM
ME
01
—
201836
NGS
ME
Enumeration date
03/22/2007
Last updated
07/02/2009
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