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General NPI Number Information
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NPI Number | 1922441187
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Entity Type | Individual
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Provider Name | BINOJ JOSEPH MATTHEW M.D., MHA
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Gender | Male
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Dates
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Enumeration Date | 04/08/2013
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 4700 NORTHGATE BLVD STE 100
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City | SACRAMENTO
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State | CA
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Zip | 95834-1149
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Country | US
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Telephone | 916-929-6161
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Fax |
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Provider Business Mailing Address
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Address Line | 645 E CHAMPLAIN DR APT 131
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City | FRESNO
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State | CA
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Zip | 93730-1294
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Country | US
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Telephone | 559-355-0590
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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 | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number | A138022
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License Number State | CA
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