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NPI Code Detail

MEDICARE: JOSHUA AVERY

MEDICARE: JOSHUA AVERY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1376J00000XHomemaker

General Provider Information

NPI Number : 1710811393
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA AVERY
Provider Business Mailing Address
First Line : 1614 S KANAWHA ST
Second Line :
City : BECKLEY
State : WV
Zip : 25801-6239
Country : US
Telephone Number : 304-255-1397
Fax Number :
Provider Business Practice Location Address
First Line : 1614 S KANAWHA ST
Second Line :
City : BECKLEY
State : WV
Zip : 25801-6239
Country : US
Telephone Number : 304-255-1397
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2026
Last Update Date : 06/10/2026

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Directions to “ JOSHUA AVERY ” Practice Location

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