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Individual
RICHARD L PAUL
Active
Individual
RICHARD L PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34000796A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000177003
ANTHEM
IN
05
—
100240880
—
IN
01
—
11490680
CAQH
IN
01
—
800006279
RAILROAD
IN
Enumeration date
09/01/2006
Last updated
10/23/2015
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