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General NPI Number Information
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NPI Number | 1801807649
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Entity Type | Individual
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Provider Name | JOSEPH KEITH PRESTON MD
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Gender | Male
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 4015 LAMAR AVE
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City | PARIS
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State | TX
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Zip | 75462-5212
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Country | US
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Telephone | 903-784-7959
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Fax | 903-784-7969
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Provider Business Mailing Address
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Address Line | 4015 LAMAR AVE
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City | PARIS
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State | TX
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Zip | 75462-5212
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Country | US
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Telephone | 903-784-7959
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Fax | 903-784-7969
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 61590
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | L5880
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License Number State | TX
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