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General NPI Number Information
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NPI Number | 1053307124
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Entity Type | Individual
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Provider Name | JOSEPH LEONCE CHARLOT JR. MD
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Gender | Male
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Dates
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Enumeration Date | 09/23/2005
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Last Update Date | 11/30/2023
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Provider Practice Location Address
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Address Line | 2613 TAYLOR RD STE 23321
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City | CHESAPEAKE
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State | VA
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Zip | 23321-2246
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Country | US
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Telephone | 757-465-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 2613 TAYLOR RD STE 101
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City | CHESAPEAKE
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State | VA
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Zip | 23321-2246
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Country | US
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Telephone | 757-465-4000
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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 | 2083P0500X
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Taxonomy Name | Preventive Medicine/Occupational Environmental Medicine Physician
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License Number | 042247
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 2083P0500X
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Taxonomy Name | Preventive Medicine/Occupational Environmental Medicine Physician
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License Number | 25MA07041600
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 042247
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 0101057818
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 0101057818
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License Number State | VA
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