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General NPI Number Information
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NPI Number | 1013400548
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Entity Type | Individual
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Provider Name | JOEL JOSEPH MD
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Gender | Male
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Dates
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Enumeration Date | 06/09/2018
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 131 SUMMERPLACE DR
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-3058
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Country | US
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Telephone | 803-794-4585
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Fax | 803-796-8924
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Provider Business Mailing Address
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Address Line | 131 SUMMERPLACE DR
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-3058
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Country | US
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Telephone | 803-794-4585
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Fax | 803-796-8924
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD29631
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 94718
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD29631
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License Number State | ME
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 2021-02132
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 237797
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License Number State | NC
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