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General NPI Number Information
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NPI Number | 1194121491
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Entity Type | Individual
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Provider Name | JOSHUA SALLEY ATP
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Gender | Male
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Dates
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Enumeration Date | 11/13/2014
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Last Update Date | 11/16/2014
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Provider Practice Location Address
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Address Line | 1545 CAPITAL DR STE 105
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City | CARROLLTON
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State | TX
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Zip | 75006-3668
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Country | US
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Telephone | 972-434-1700
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Fax | 972-221-0099
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Provider Business Mailing Address
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Address Line | 3200 RIFLE GAP RD APT 1126
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City | FRISCO
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State | TX
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Zip | 75034-6487
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Country | US
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Telephone | 972-522-8559
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Fax | 469-777-3447
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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