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General NPI Number Information
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NPI Number | 1609919539
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Entity Type | Organization
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Legal Business Name | JOSEPH G. TALBERT, M.D., PLLC
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 12/05/2008
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Provider Practice Location Address
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Address Line | 4160 JOHN R ST SUITE 1011
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City | DETROIT
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State | MI
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Zip | 48201-2020
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Country | US
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Telephone | 313-993-7010
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Fax | 313-993-7012
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Provider Business Mailing Address
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Address Line | 4160 JOHN R ST SUITE 1011
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City | DETROIT
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State | MI
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Zip | 48201-2020
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Country | US
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Telephone | 313-993-7010
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Fax | 313-993-7012
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSEPH G. TALBERT
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Credential | MD, PLLC
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Telephone | 313-993-7010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246X00000X
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Taxonomy Name | Cardiovascular Specialist/Technologist
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License Number | 035210
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License Number State | MI
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