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General NPI Number Information
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NPI Number | 1548371529
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Entity Type | Individual
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Provider Name | JOSEPH TRAUBE M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 11/05/2015
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Provider Practice Location Address
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Address Line | 4275 CAMPUS POINT CT
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City | SAN DIEGO
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State | CA
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Zip | 92121-1513
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Country | US
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Telephone | 858-678-6087
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Fax | 858-678-6052
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Provider Business Mailing Address
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Address Line | PO BOX 9242
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City | RANCHO SANTA FE
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State | CA
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Zip | 92067-4242
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Country | US
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Telephone | 858-465-9263
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Fax |
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | G34837
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License Number State | CA
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