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General NPI Number Information
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NPI Number | 1831243369
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Entity Type | Organization
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Legal Business Name | BABU M JOSEPH MD PC
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 02/11/2008
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Provider Practice Location Address
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Address Line | 10753 GUY R BREWER BLVD
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City | JAMAICA
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State | NY
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Zip | 11433-2351
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Country | US
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Telephone | 718-523-5776
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Fax | 718-526-1132
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Provider Business Mailing Address
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Address Line | 27019 UNION TPKE
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-1536
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Country | US
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Telephone | 718-343-4865
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BABU M JOSEPH
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Credential | MD
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Telephone | 718-343-4865
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 213071
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License Number State | NY
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