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General NPI Number Information
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NPI Number | 1548304157
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Entity Type | Organization
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Legal Business Name | JOSEPH BLUMENTHAL MD, INC
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1580 VALENCIA ST STE 101
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-4423
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Country | US
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Telephone | 415-282-3030
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Fax |
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Provider Business Mailing Address
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Address Line | 1580 VALENCIA ST STE 101
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-4423
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Country | US
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Telephone | 415-282-3030
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH BLUMENTHAL
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Credential | MD
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Telephone | 415-282-3030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A22670
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License Number State | CA
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