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General NPI Number Information
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NPI Number | 1396203139
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Entity Type | Organization
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Legal Business Name | JOSEPH PAUL VICE MD PLLC
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Dates
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Enumeration Date | 03/12/2019
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Last Update Date | 03/12/2019
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Provider Practice Location Address
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Address Line | 11 DOCTORS DR
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-5709
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Country | US
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Telephone | 228-334-5505
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Fax |
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Provider Business Mailing Address
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Address Line | 11 DOCTORS DR
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-5709
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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 | MD
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Name | JOSEPH VICE
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Credential | MD
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Telephone | 228-327-9889
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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