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General NPI Number Information
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NPI Number | 1053284976
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Entity Type | Organization
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Legal Business Name | FIRSTHAND MEDICAL OF GEORGIA PC
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Dates
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Enumeration Date | 09/26/2025
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 8384 BAYMEADOWS RD STE 4
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City | JACKSONVILLE
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State | FL
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Zip | 32256-7486
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Country | US
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Telephone | 201-474-5844
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Fax | 855-737-3901
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Provider Business Mailing Address
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Address Line | 1032 E BRANDON BLVD STE 4567
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City | BRANDON
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State | FL
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Zip | 33511-5509
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Country | US
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Telephone | 201-474-5844
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Fax | 855-737-3901
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSHUA A EMDUR
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Credential | DO
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Telephone | 720-684-9159
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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