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General NPI Number Information
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NPI Number | 1790748895
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Entity Type | Individual
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Provider Name | VINOD SHANKAR JOSHI M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 26900 CEDAR RD CCF ASC
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City | BEACHWOOD
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State | OH
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Zip | 44122-1191
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Country | US
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Telephone | 216-839-3542
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Fax | 216-839-3508
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Provider Business Mailing Address
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Address Line | 5552 KILBOURNE DR
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City | LYNDHURST
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State | OH
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Zip | 44124-3829
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Country | US
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Telephone | 440-461-3570
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Fax | 818-743-7433
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 35 042394
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License Number State | OH
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