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General NPI Number Information
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NPI Number | 1447902101
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Entity Type | Individual
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Provider Name | KEVIN JOHN S JOSEPH NP
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Gender | Male
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Dates
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Enumeration Date | 01/24/2022
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 611 GATEWAY BLVD STE 120
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City | SOUTH SAN FRANCISCO
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State | CA
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Zip | 94080-7066
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Country | US
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Telephone | 650-761-4056
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Fax |
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Provider Business Mailing Address
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Address Line | 26506 POPPY CT
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City | LOMA LINDA
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State | CA
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Zip | 92354-6736
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Country | US
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Telephone | 909-800-8651
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 95017545
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 433294
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License Number State | NY
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