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General NPI Number Information
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NPI Number | 1114970431
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Entity Type | Individual
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Provider Name | JOSEPH J PAPOTTO III D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 4835 HWY 17 S BYPASS SUITE B
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City | MURRELLS INLET
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State | SC
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Zip | 29576
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Country | US
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Telephone | 843-651-0304
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Fax | 843-651-1139
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Provider Business Mailing Address
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Address Line | 4835 HWY 17 S BYPASS SUITE B
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City | MURRELLS INLET
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State | SC
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Zip | 29576
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Country | US
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Telephone | 843-651-0304
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Fax | 843-651-1139
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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 | 9900976
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License Number State | NC
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