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General NPI Number Information
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NPI Number | 1861695322
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Entity Type | Individual
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Provider Name | JOSHUA GOLUB MD
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Gender | Male
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Dates
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Enumeration Date | 06/11/2007
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Last Update Date | 05/19/2009
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Provider Practice Location Address
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Address Line | 59 EXCUTIVE PARK EMORY UNIVERSITY
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City | ATLANTA
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State | GA
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Zip | 30329
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Country | US
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Telephone | 404-778-6265
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Fax |
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Provider Business Mailing Address
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Address Line | 1526 CUSTIS CT
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City | ATLANTA
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State | GA
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Zip | 30338-6986
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Country | US
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Telephone | 678-296-9136
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Fax |
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 35086006
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License Number State | OH
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