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General NPI Number Information
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NPI Number | 1043173123
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Entity Type | Individual
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Provider Name | JOSHUA JEFFUS RPH
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Gender | Male
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 353 CASH RD SW
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City | CAMDEN
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State | AR
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Zip | 71701-3704
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Country | US
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Telephone | 870-836-2727
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Fax |
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Provider Business Mailing Address
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Address Line | 2690 LATICANA DR
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City | CAMDEN
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State | AR
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Zip | 71701-5503
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Country | US
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Telephone | 870-807-0545
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PD09437
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License Number State | AR
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