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General NPI Number Information
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NPI Number | 1609068014
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Entity Type | Organization
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Legal Business Name | RUPEN JOSHI MD LLC
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Dates
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Enumeration Date | 08/10/2007
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Last Update Date | 08/10/2007
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Provider Practice Location Address
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Address Line | 4810 WHITESPORT CIR SW SUITE 201
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City | HUNTSVILLE
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State | AL
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Zip | 35801-7419
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Country | US
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Telephone | 256-880-1222
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Fax | 256-880-2666
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Provider Business Mailing Address
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Address Line | 4810 WHITESPORT CIR SW SUITE 201
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City | HUNTSVILLE
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State | AL
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Zip | 35801-7419
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Country | US
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Telephone | 256-880-1222
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Fax | 256-880-2666
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. RUPEN S JOSHI
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Credential | M.D.
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Telephone | 256-880-1222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD25812
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License Number State | AL
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