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General NPI Number Information
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NPI Number | 1356876924
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Entity Type | Individual
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Provider Name | JOSEPH DURSO MD
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Gender | Male
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Dates
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Enumeration Date | 04/20/2017
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 800 S RAYMOND AVE
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City | PASADENA
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State | CA
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Zip | 91105-3229
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Country | US
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Telephone | 310-665-7200
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Fax |
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Provider Business Mailing Address
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Address Line | MADIGAN ARMY MEDICAL CTR 9040 JACKSON AVENUE
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City | TACOMA
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State | WA
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Zip | 98431-0001
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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 |
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 31411
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 197119
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License Number State | AK
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | A201231
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License Number State | CA
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