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General NPI Number Information
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NPI Number | 1790330934
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Entity Type | Organization
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Legal Business Name | JOSHI JOHN PSYCHIATRY PC
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Dates
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Enumeration Date | 08/05/2019
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Last Update Date | 08/05/2019
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Provider Practice Location Address
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Address Line | 26 KRISTI DRIVE
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City | JERICHO
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State | NY
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Zip | 11753-1309
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Country | US
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Telephone | 516-708-3291
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Fax |
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Provider Business Mailing Address
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Address Line | 26 KRISTI DRIVE
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City | JERICHO
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State | NY
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Zip | 11753-1309
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Country | US
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Telephone | 516-822-0241
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOSHI JOHN
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Credential | MD
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Telephone | 516-708-3291
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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