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General NPI Number Information
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NPI Number | 1013684588
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Entity Type | Individual
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Provider Name | JOSHUA MUELLER
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Gender | Male
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Dates
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Enumeration Date | 08/24/2021
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 8333 NAAB RD STE 420
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-1992
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Country | US
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Telephone | 317-338-6666
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Fax | 317-338-9903
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Provider Business Mailing Address
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Address Line | 3005 W DOROTHY JEANNE ST APT 9
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City | FAYETTEVILLE
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State | AR
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Zip | 72704-8704
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Country | US
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Telephone |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 01095908A
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License Number State | IN
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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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