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General NPI Number Information
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NPI Number | 1689666075
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Entity Type | Organization
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Legal Business Name | JOSEPH W DEHAVEN MD PC
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Dates
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Enumeration Date | 08/22/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7001 HODGSON MEMORIAL DR ST 2
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City | SAVANNAH
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State | GA
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Zip | 31406-2549
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Country | US
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Telephone | 912-355-1437
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Fax | 912-353-8374
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Provider Business Mailing Address
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Address Line | 7001 HODGSON MEMORIAL DR ST 2
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City | SAVANNAH
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State | GA
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Zip | 31406-2549
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Country | US
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Telephone | 912-355-1437
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Fax | 912-353-8374
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSEPH W DEHAVEN
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Credential | MD PC
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Telephone | 912-355-1437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 20687
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License Number State | GA
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