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Individual
PAUL E TATUM III
Active
Individual
PAUL E TATUM III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
036160360
IL
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
2022022258
MO
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
R9296
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807026
—
AZ
Enumeration date
11/09/2005
Last updated
04/02/2025
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