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General NPI Number Information
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NPI Number | 1255480836
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Entity Type | Organization
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Legal Business Name | ST. JOSEPH CLINIC, P.C.
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1102 W WAUGH ST
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City | DALTON
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State | GA
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Zip | 30720-8769
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Country | US
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Telephone | 706-277-2321
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Fax | 706-226-1492
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Provider Business Mailing Address
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Address Line | 1102 W WAUGH ST
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City | DALTON
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State | GA
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Zip | 30720-8769
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Country | US
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Telephone | 706-277-2321
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Fax | 706-226-1492
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Authorized Official
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Title or Position | CEO
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Name | DR. PABLO E PEREZ
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Credential | M.D.
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Telephone | 706-277-2321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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