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General NPI Number Information
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NPI Number | 1609997949
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Entity Type | Organization
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Legal Business Name | DR. JOSEPH NOVOSEL
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 608 W MCNEESE ST
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City | LAKE CHARLES
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State | LA
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Zip | 70605-5530
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Country | US
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Telephone | 337-474-6181
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Fax |
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Provider Business Mailing Address
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Address Line | 2850 EASTEX FWY
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City | BEAUMONT
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State | TX
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Zip | 77703-4618
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Country | US
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Telephone | 409-899-1340
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Fax | 409-899-5184
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Authorized Official
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Title or Position | PODIATRY
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Name | DR. JOSEPH NOVOSEL
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Credential | DPM
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Telephone | 409-899-1340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 0564
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License Number State | TX
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