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General NPI Number Information
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NPI Number | 1053505099
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Entity Type | Organization
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Legal Business Name | MICHAEL JOSEPH
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Dates
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Enumeration Date | 09/04/2007
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Last Update Date | 04/12/2010
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Provider Practice Location Address
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Address Line | 1050 NORTHGATE DRIVE SUITE 130
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City | SAN RAFAEL
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State | CA
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Zip | 94903-2526
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Country | US
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Telephone | 415-444-0700
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Fax | 415-444-0771
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Provider Business Mailing Address
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Address Line | PO BOX 6382
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City | SAN RAFAEL
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State | CA
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Zip | 94903-6832
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Country | US
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Telephone | 415-444-0700
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Fax | 415-444-0771
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Authorized Official
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Title or Position | SUPERVISOR
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Name | DR. MICHAEL P. JOSEPH
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Credential | D.C.
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Telephone | 415-444-0700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 18837
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License Number State | CA
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