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General NPI Number Information
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NPI Number | 1114556131
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Entity Type | Individual
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Provider Name | JOSHUA OHISER
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Gender | Male
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Dates
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Enumeration Date | 04/02/2020
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 460 PIN OAK DR
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City | LEXINGTON
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State | SC
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Zip | 29073-7916
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Country | US
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Telephone | 803-714-3446
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Fax | 803-824-6189
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Provider Business Mailing Address
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Address Line | 1505 BLANDING ST
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City | COLUMBIA
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State | SC
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Zip | 29201-2906
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Country | US
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Telephone | 803-929-0011
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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 | RBT-17-28570
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | 0-22-13787
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License Number State | SC
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