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General NPI Number Information
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NPI Number | 1609458017
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Entity Type | Organization
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Legal Business Name | HAROLD JOSEPH MD
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Dates
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Enumeration Date | 04/26/2021
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Last Update Date | 05/04/2021
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Provider Practice Location Address
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Address Line | 46 ROUTE 25A STE 6
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City | SETAUKET
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State | NY
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Zip | 11733-2807
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Country | US
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Telephone | 631-743-4044
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Fax | 631-675-1623
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Provider Business Mailing Address
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Address Line | 46 ROUTE 25A STE 6
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City | SETAUKET
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State | NY
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Zip | 11733-2807
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Country | US
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Telephone | 631-743-4044
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Fax | 631-675-1623
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Authorized Official
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Title or Position | CERTIFIED PHYSICIAN PRACTICE MANAGE
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Name | MS. WINTERJANE MAMIE PRESTON
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Credential | CCPPM
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Telephone | 631-743-4044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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