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General NPI Number Information
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NPI Number | 1275997074
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Entity Type | Organization
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Legal Business Name | DR JOSHUA SAMEER PAL, MD CORPORATION
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Dates
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Enumeration Date | 04/07/2016
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Last Update Date | 08/08/2016
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Provider Practice Location Address
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Address Line | 3142 E. PLAZA BLVD., SUITE T
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City | NATIONAL CITY
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State | CA
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Zip | 91950
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Country | US
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Telephone | 619-327-6598
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Fax | 619-475-6507
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Provider Business Mailing Address
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Address Line | 3142 E. PLAZA BLVD., SUITE T
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City | NATIONAL CITY
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State | CA
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Zip | 91950
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Country | US
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Telephone | 619-327-6598
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Fax | 619-475-6507
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOSHUA SAMEER PAL
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Credential | M.D.
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Telephone | 617-777-3520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | A104765
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License Number State | CA
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