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General NPI Number Information
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NPI Number | 1336331305
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Entity Type | Organization
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Legal Business Name | JOSHUS A IMPERIO MD A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 08/14/2007
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Last Update Date | 11/01/2007
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Provider Practice Location Address
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Address Line | 35400 BOB HOPE DR A 201
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-1772
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Country | US
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Telephone | 951-265-3893
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Fax | 951-769-3054
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Provider Business Mailing Address
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Address Line | 44489 TOWN CENTER WAY # D413
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City | PALM DESERT
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State | CA
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Zip | 92260-2723
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Country | US
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Telephone | 951-265-3893
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Fax | 951-769-3054
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSHUA A IMPERIO
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Credential | MD
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Telephone | 951-265-3893
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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 | A056083
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License Number State | CA
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