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General NPI Number Information
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NPI Number | 1639498496
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Entity Type | Organization
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Legal Business Name | OAKDALE INTERNAL MEDICINE
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Dates
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Enumeration Date | 05/19/2010
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Last Update Date | 05/19/2010
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Provider Practice Location Address
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Address Line | 107 HOSPITAL DR
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City | OAKDALE
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State | LA
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Zip | 71463-3034
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Country | US
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Telephone | 318-335-4449
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Fax | 318-335-4447
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Provider Business Mailing Address
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Address Line | 107 HOSPITAL DR
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City | OAKDALE
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State | LA
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Zip | 71463-3034
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Country | US
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Telephone | 318-335-4449
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Fax | 318-335-4447
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Authorized Official
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Title or Position | INTERNAL MEDICINE PROVIDER
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Name | DR. BINITHA JOSEPH
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Credential | M.D
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Telephone | 337-496-7723
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD202163
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License Number State | LA
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