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General NPI Number Information
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NPI Number | 1780730242
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Entity Type | Individual
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Provider Name | ERICA TOBIN JOSEPH M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 09/29/2016
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Provider Practice Location Address
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Address Line | 5401 OLD COURT RD
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-5103
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Country | US
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Telephone | 410-521-5950
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Fax | 410-521-5942
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Provider Business Mailing Address
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Address Line | 15310 CAMBERLEY PLACE
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City | UPPER MARLBORO
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State | MD
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Zip | 20774
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Country | US
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Telephone | 301-801-9204
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | D0052760
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License Number State | MD
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