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NPI 1023495280

NPI 1023495280 : JOSHUA E PREISS M.D. : INDIANAPOLIS, IN

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General NPI Number Information
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    NPI Number           |    1023495280
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    Entity Type          |    Individual 
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    Provider Name        |    JOSHUA E PREISS M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/27/2015
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    Last Update Date     |    08/07/2025
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Provider Practice Location Address
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    Address Line         |    7979 N SHADELAND AVE STE 310 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46250-2042
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    Country              |    US
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    Telephone            |    317-887-7968
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 776351 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60677-6351
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    Country              |    US
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    Telephone            |    502-588-9490
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    Fax                  |    502-272-5116
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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        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    209775
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    208G00000X
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    Taxonomy Name        |    Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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    License Number       |    56866
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    License Number State |    KY
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Taxonomy #3
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    Taxonomy Code        |    208G00000X
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    Taxonomy Name        |    Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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    License Number       |    01096272A
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    License Number State |    IN
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