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General NPI Number Information
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NPI Number | 1508392317
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Entity Type | Organization
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Legal Business Name | REETI K JOSHI, MD PA
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 3560 DELAWARE ST 301
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City | BEAUMONT
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State | TX
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Zip | 77706-3067
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Country | US
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Telephone | 832-655-0299
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Fax |
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Provider Business Mailing Address
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Address Line | 3560 DELAWARE ST 301
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City | BEAUMONT
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State | TX
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Zip | 77706-3067
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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 | PHYSICIAN
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Name | DR. REETI KAUTILYA JOSHI
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Credential | M.D.
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Telephone | 832-655-0299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | N3770
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License Number State | TX
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