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General NPI Number Information
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NPI Number | 1497799399
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Entity Type | Individual
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Provider Name | BIJU K JOSE
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Gender | Male
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 01/06/2024
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Provider Practice Location Address
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Address Line | 188 POST AVE
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City | WESTBURY
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State | NY
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Zip | 11590-3060
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Country | US
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Telephone | 631-654-7236
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Fax | 610-617-6280
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Provider Business Mailing Address
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Address Line | PO BOX 13700 1378 BROOKHAVEN MEMORIAL HOSPITAL ER
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City | PHILADELPHIA
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State | PA
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Zip | 19191-1378
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Country | US
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Telephone | 800-666-2455
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Fax | 610-617-6280
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 227900000X
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Taxonomy Name | Registered Respiratory Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 06795
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F310277
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License Number State | NY
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