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General NPI Number Information
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NPI Number | 1184624595
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Entity Type | Individual
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Provider Name | JEFFREY JOSHOWITZ D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/28/2005
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Last Update Date | 11/10/2017
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Provider Practice Location Address
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Address Line | 39475 LEWIS DR SUITE 140
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City | NOVI
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State | MI
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Zip | 48377-2952
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Country | US
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Telephone | 248-489-0766
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Fax | 248-489-0788
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Provider Business Mailing Address
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Address Line | 130 TOWN CENTER DR
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City | TROY
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State | MI
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Zip | 48084-1744
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Country | US
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Telephone | 248-585-8216
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Fax | 248-585-8266
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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 | 5101010027
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License Number State | MI
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