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General NPI Number Information
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NPI Number | 1124569330
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Entity Type | Individual
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Provider Name | JOSEPH HOSSEIN ESMAEILI D.O.
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Gender | Male
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Dates
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Enumeration Date | 03/20/2017
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Last Update Date | 01/21/2021
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Provider Practice Location Address
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Address Line | 100 JACKSON PIKE
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City | GALLIPOLIS
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State | OH
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Zip | 45631-1560
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Country | US
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Telephone | 855-446-5937
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Fax | 740-446-5486
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Provider Business Mailing Address
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Address Line | 90 JACKSON PIKE
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City | GALLIPOLIS
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State | OH
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Zip | 45631-1562
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Country | US
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Telephone | 740-446-5387
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Fax | 740-446-5982
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | OH
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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 | 34.014722
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License Number State | OH
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