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General NPI Number Information
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NPI Number | 1154563237
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Entity Type | Organization
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Legal Business Name | JOSEPH J STRAIGHT
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Dates
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Enumeration Date | 04/03/2009
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Last Update Date | 04/03/2009
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Provider Practice Location Address
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Address Line | 4745 OGLETOWN STANTON RD SUITE 225
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City | NEWARK
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State | DE
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Zip | 19713-2067
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Country | US
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Telephone | 302-731-2888
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Fax | 302-731-7049
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Provider Business Mailing Address
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Address Line | 4745 OGLETOWN STANTON RD SUITE 225
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City | NEWARK
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State | DE
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Zip | 19713-2067
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Country | US
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Telephone | 302-731-2888
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Fax | 302-731-7049
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. JOSEPH JAMES STRAIGHT
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Credential | M.D.
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Telephone | 302-731-2888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | C10008348
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License Number State | DE
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