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Individual
DR. JOSEPH JOHN DIPESO
Active
Individual
DR. JOSEPH JOHN DIPESO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01797
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M452
BCBS (MD)
MD
01
—
T421-0001
BCBS (FEP & GHMSI)
MD
Enumeration date
03/19/2007
Last updated
10/11/2011
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