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General NPI Number Information
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NPI Number | 1497086557
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Entity Type | Organization
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Legal Business Name | JOSEPH M CHERIAN MD PA
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Dates
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Enumeration Date | 01/28/2010
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Last Update Date | 01/28/2010
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Provider Practice Location Address
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Address Line | 5952 BERRYHILL RD
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City | MILTON
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State | FL
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Zip | 32570-4009
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Country | US
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Telephone | 850-623-0323
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Fax | 850-623-0683
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Provider Business Mailing Address
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Address Line | 5952 BERRYHILL RD
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City | MILTON
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State | FL
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Zip | 32570-4009
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Country | US
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Telephone | 850-623-0323
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Fax | 850-623-0683
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANNIE CHERIAN
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Credential | MD
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Telephone | 850-623-0323
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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 | ME0034321
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License Number State | FL
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