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General NPI Number Information
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NPI Number | 1730132242
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Entity Type | Individual
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Provider Name | MANDAR M JOSHI M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 5700 MONROE ST UNIT 211
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City | SYLVANIA
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State | OH
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Zip | 43560-2737
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Country | US
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Telephone | 419-776-1004
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Fax | 419-776-1020
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Provider Business Mailing Address
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Address Line | 5700 MONROE ST UNIT 211
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City | SYLVANIA
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State | OH
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Zip | 43560-2737
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 35088233
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | 4301076657
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | 35088233
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License Number State | OH
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