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General NPI Number Information
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NPI Number | 1245282458
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Entity Type | Individual
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Provider Name | JOSEPH M CARBONE MD
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Gender | Male
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 1040 MAIN ST
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City | DANVILLE
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State | VA
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Zip | 24541-1816
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Country | US
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Telephone | 434-792-1433
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Fax | 434-797-2807
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Provider Business Mailing Address
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Address Line | 1040 MAIN ST
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City | DANVILLE
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State | VA
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Zip | 24541-1816
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Country | US
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Telephone | 434-792-1433
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Fax | 434-797-2807
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 200300128
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 0101226594
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License Number State | VA
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