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General NPI Number Information
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NPI Number | 1831193275
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Entity Type | Individual
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Provider Name | RAJESH A JOSEPH M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/13/2005
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Last Update Date | 01/19/2021
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Provider Practice Location Address
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Address Line | 3999 DUTCHMANS LN STE 7B
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City | LOUISVILLE
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State | KY
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Zip | 40207-4742
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Country | US
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Telephone | 502-896-4711
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Fax | 502-896-4791
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Provider Business Mailing Address
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Address Line | PO BOX 776351
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City | CHICAGO
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State | IL
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Zip | 60677-6351
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Country | US
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Telephone | 502-588-9490
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Fax | 502-272-5116
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 35-077244
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 45286
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | TP418
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 45286
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License Number State | KY
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