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General NPI Number Information
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NPI Number | 1114237047
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Entity Type | Organization
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Legal Business Name | RICHARD S JOSEPH MD PC
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Dates
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Enumeration Date | 10/13/2010
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Last Update Date | 12/01/2010
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Provider Practice Location Address
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Address Line | 205 E MAIN ST SUITE1-4
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City | HUNTINGTON
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State | NY
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Zip | 11743-2923
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Country | US
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Telephone | 631-549-6969
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Fax | 631-421-0333
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Provider Business Mailing Address
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Address Line | 205 E MAIN ST SUITE1-4
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City | HUNTINGTON
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State | NY
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Zip | 11743-2923
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Country | US
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Telephone | 631-549-6969
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Fax | 631-421-0333
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Authorized Official
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Title or Position | MD
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Name | DR. RICHARD SAUL JOSEPH
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Credential | MD
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Telephone | 631-549-6969
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 091447-1
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License Number State | NY
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