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NPI 1841652930

NPI 1841652930 : JOSEPH AMIR DAIBES D.O. : CLIFTON, NJ

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General NPI Number Information
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    NPI Number           |    1841652930
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    Entity Type          |    Individual 
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    Provider Name        |    JOSEPH AMIR DAIBES D.O.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/28/2016
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    Last Update Date     |    08/21/2023
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Provider Practice Location Address
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    Address Line         |    855 VALLEY RD STE 112B 
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    City                 |    CLIFTON
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    State                |    NJ
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    Zip                  |    07013-2441
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    Country              |    US
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    Telephone            |    973-327-5000
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    Fax                  |    973-327-5555
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Provider Business Mailing Address
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    Address Line         |    855 VALLEY RD STE 112B 
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    City                 |    CLIFTON
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    State                |    NJ
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    Zip                  |    07013-2441
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    Country              |    US
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    Telephone            |    973-327-5000
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    Fax                  |    973-327-5555
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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        |    207RC0000X
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    Taxonomy Name        |    Cardiovascular Disease Physician
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    License Number       |    303899-01
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    303899
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    License Number State |    NY
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Taxonomy #3
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    207RC0000X
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    Taxonomy Name        |    Cardiovascular Disease Physician
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    License Number       |    25MB10927700
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    License Number State |    NJ
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