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General NPI Number Information
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NPI Number | 1235108267
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Entity Type | Individual
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Provider Name | JOSEPH DAVID MAIER
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Gender | Male
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 12/13/2023
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Provider Practice Location Address
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Address Line | IRELAND ARMY HEALTH CLINIC 200 BRULE STREET. BUILDING 871
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City | FORT KNOX
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State | KY
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Zip | 40121-2722
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Country | US
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Telephone | 502-626-9884
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Fax |
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Provider Business Mailing Address
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Address Line | 10707 CHAIN IVY CT
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City | LOUISVILLE
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State | KY
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Zip | 40291-5025
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Country | US
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Telephone | 502-231-9691
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2763
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License Number State | KY
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