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General NPI Number Information
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NPI Number | 1043026198
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Entity Type | Organization
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Legal Business Name | JOSEPH CARE LLC
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Dates
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Enumeration Date | 12/04/2024
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 2504 RAEFORD RD STE 101
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City | FAYETTEVILLE
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State | NC
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Zip | 28305-5135
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Country | US
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Telephone | 910-675-6030
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Fax | 910-372-6116
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Provider Business Mailing Address
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Address Line | 2504 RAEFORD RD STE 101
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City | FAYETTEVILLE
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State | NC
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Zip | 28305-5135
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Country | US
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Telephone |
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Fax | 910-372-6116
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Authorized Official
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Title or Position | OWNER
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Name | DR. LEAH JOSEPH
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Credential |
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Telephone | 717-468-2176
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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