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General NPI Number Information
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NPI Number | 1255622205
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Entity Type | Organization
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Legal Business Name | PRAJWOL JOSHI, M.D., PLLC
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Dates
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Enumeration Date | 04/26/2011
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Last Update Date | 04/26/2011
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Provider Practice Location Address
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Address Line | 7660 E PARHAM RD STE 204
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City | HENRICO
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State | VA
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Zip | 23294-4378
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Country | US
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Telephone | 804-672-8222
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2879
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City | GLEN ALLEN
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State | VA
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Zip | 23058-2879
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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 | SOLE MEMBER
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Name | PRAJWOL JOSHI
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Credential | MD
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Telephone | 804-672-8222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 0101239353
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License Number State | VA
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