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General NPI Number Information
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NPI Number | 1932149358
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Entity Type | Individual
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Provider Name | JOSEPH LAMOTHE MD
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Gender | Male
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 01/21/2009
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Provider Practice Location Address
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Address Line | 9600 GROSS POINT RD
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City | SKOKIE
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State | IL
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Zip | 60076-1214
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Country | US
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Telephone | 847-933-6956
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Fax | 847-933-6956
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Provider Business Mailing Address
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Address Line | PO BOX 758733
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City | BALTIMORE
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State | MD
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Zip | 21275-0001
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Country | US
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Telephone | 904-805-1300
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Fax | 904-805-1302
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 036057675
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License Number State | IL
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