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General NPI Number Information
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NPI Number | 1437177979
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Entity Type | Individual
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Provider Name | JOEL S ENRIQUEZ MD
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 11/30/2025
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Provider Practice Location Address
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Address Line | 5500 MARKET ST STE 119
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City | YOUNGSTOWN
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State | OH
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Zip | 44512-2616
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Country | US
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Telephone | 724-824-4096
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Fax | 724-269-9476
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Provider Business Mailing Address
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Address Line | 122 GLOVER RD
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City | NEW CASTLE
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State | PA
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Zip | 16105-1224
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MD032828E
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD032828E
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License Number State | PA
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