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General NPI Number Information
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NPI Number | 1457432007
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Entity Type | Individual
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Provider Name | DEEPA JOSEPH M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 03/18/2010
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Provider Practice Location Address
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Address Line | 1980 CROMPOND RD
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City | CORTLANDT MANOR
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State | NY
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Zip | 10567-4144
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Country | US
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Telephone | 914-734-3324
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Fax | 914-737-6304
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Provider Business Mailing Address
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Address Line | 50 DAYTON LN SUITE 202
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City | PEEKSKILL
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State | NY
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Zip | 10566-2859
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Country | US
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Telephone | 914-739-0087
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Fax | 914-737-1714
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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 | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 241905
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 241905
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License Number State | NY
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