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General NPI Number Information
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NPI Number | 1164129318
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Entity Type | Individual
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Provider Name | JOSHUA MARK BLANCHARD RN
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Gender | Male
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Dates
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Enumeration Date | 02/08/2023
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Last Update Date | 05/14/2026
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Provider Practice Location Address
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Address Line | 1700 6TH AVE S
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City | BIRMINGHAM
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State | AL
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Zip | 35233-1802
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Country | US
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Telephone | 205-934-2666
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Fax |
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Provider Business Mailing Address
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Address Line | 1589 BREWSTER CIR
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City | BIRMINGHAM
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State | AL
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Zip | 35235-1724
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1-178765
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 6971173
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 7971173
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License Number State | ID
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