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General NPI Number Information
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NPI Number | 1174813349
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Entity Type | Individual
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Provider Name | LINDA MARY JOSEPH M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/08/2011
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Last Update Date | 06/12/2015
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Provider Practice Location Address
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Address Line | 6451 BRENTWOOD STAIR RD #200
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City | FORT WORTH
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State | TX
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Zip | 76112-3200
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Country | US
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Telephone | 817-507-1780
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Fax |
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Provider Business Mailing Address
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Address Line | 6451 BRENTWOOD STAIR RD #200
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City | FORT WORTH
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State | TX
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Zip | 76112-3200
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Country | US
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Telephone |
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Fax |
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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 |
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | Q4151
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A130610
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MT200215
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License Number State | PA
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