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General NPI Number Information
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NPI Number | 1073923793
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Entity Type | Individual
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Provider Name | JOSHUA EBERHARD D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/02/2014
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Last Update Date | 05/16/2023
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Provider Practice Location Address
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Address Line | 21772 S ELLSWORTH LOOP RD
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-7709
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Country | US
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Telephone | 480-512-3700
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Fax | 480-512-3715
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Provider Business Mailing Address
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Address Line | 21772 S ELLSWORTH LOOP RD
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-7709
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Country | US
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Telephone | 480-512-3700
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Fax | 480-512-3715
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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 | 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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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 | UO4040
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 008571
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License Number State | AZ
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