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Individual
DR. PAUL L FOUTZ
Active
Individual
DR. PAUL L FOUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S01547
MD
111NR0400X
Rehabilitation Chiropractor
01547
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52328601
BCBS RENDERING PROVIDER
MD
Enumeration date
02/22/2007
Last updated
11/10/2010
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