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General NPI Number Information
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NPI Number | 1073425369
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Entity Type | Individual
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Provider Name | JOSHUA CHRISTIAN PIETRASZEWSKI
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Gender | Male
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 9900 SPAIN RD NE APT E1029 E1029
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-1968
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Country | US
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Telephone | 303-915-7692
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Fax |
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Provider Business Mailing Address
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Address Line | 9900 SPAIN RD NE APT E1029
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-1968
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | P362440115452
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License Number State | MI
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