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General NPI Number Information
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NPI Number | 1134431315
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Entity Type | Individual
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Provider Name | JOSHUA L RACKHAM DMD
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Gender | Male
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Dates
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Enumeration Date | 07/05/2010
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 7511 S NEW BRAUNFELS
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City | SAN ANTONIO
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State | TX
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Zip | 78235-1074
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Country | US
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Telephone | 210-800-8410
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Fax |
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Provider Business Mailing Address
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Address Line | 221 E CAROLINA ST
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City | SAN ANTONIO
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State | TX
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Zip | 78210-1511
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Country | US
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Telephone | 801-920-8772
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 10244
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 27186
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License Number State | TX
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