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General NPI Number Information
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NPI Number | 1538755046
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Entity Type | Organization
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Legal Business Name | CENTER FOR JOINT HEALTH, PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 12/18/2020
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Last Update Date | 10/11/2021
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Provider Practice Location Address
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Address Line | 10420 S US 301 STE 2
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City | RIVERVIEW
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State | FL
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Zip | 33578-5806
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Country | US
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Telephone | 412-801-2236
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Fax | 813-274-1946
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Provider Business Mailing Address
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Address Line | 10232 BRIGHT CRYSTAL AVE
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City | RIVERVIEW
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State | FL
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Zip | 33578-4287
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Country | US
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Telephone | 412-801-2236
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DARREN FARNESI
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Credential | MD
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Telephone | 619-857-9747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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