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NPI 1891060612

NPI 1891060612 : JOSHUA SAMUEL DAVID GARBER D.O : CLINTON TOWNSHIP, MI

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General NPI Number Information
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    NPI Number           |    1891060612
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    Entity Type          |    Individual 
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    Provider Name        |    JOSHUA SAMUEL DAVID GARBER D.O
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/12/2012
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    Last Update Date     |    08/01/2024
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Provider Practice Location Address
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    Address Line         |    15855 19 MILE RD 
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    City                 |    CLINTON TOWNSHIP
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    State                |    MI
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    Zip                  |    48038-3504
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    Country              |    US
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    Telephone            |    586-203-1662
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5408 E MURIEL DR 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85254-5885
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    Country              |    US
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    Telephone            |    810-923-7612
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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        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    006587
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    License Number State |    AZ
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Taxonomy #2
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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 #3
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    006587
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    License Number State |    AZ
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