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General NPI Number Information
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NPI Number | 1356906739
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Entity Type | Organization
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Legal Business Name | JOSHUA WOLFSOHN DO INC
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Dates
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Enumeration Date | 05/01/2019
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Last Update Date | 05/01/2019
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Provider Practice Location Address
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Address Line | 4000 CALLE TECATE STE 220
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City | CAMARILLO
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State | CA
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Zip | 93012-5289
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Country | US
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Telephone | 805-377-2243
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Fax |
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Provider Business Mailing Address
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Address Line | 340 ROSEWOOD AVE STE N
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City | CAMARILLO
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State | CA
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Zip | 93010-5938
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Country | US
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Telephone | 805-732-4567
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSHUA WOLFSOHN
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Credential | DO
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Telephone | 805-732-4566
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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 |
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License Number State |
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