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General NPI Number Information
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NPI Number | 1033123393
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Entity Type | Individual
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Provider Name | JOSEPH CHARLES SEPROSKY JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 07/11/2023
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Provider Practice Location Address
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Address Line | 1839 FAIR AVE
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City | HONESDALE
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State | PA
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Zip | 18431-2121
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Country | US
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Telephone | 570-251-6500
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Fax | 570-253-5697
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Provider Business Mailing Address
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Address Line | 1217 TONWIN ST
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City | ARCHBALD
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State | PA
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Zip | 18403-2338
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Country | US
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Telephone | 570-614-3970
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD042091E
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License Number State | PA
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