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General NPI Number Information
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NPI Number | 1215800883
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Entity Type | Individual
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Provider Name | JOSIAH PAUL WILSON
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Gender | Male
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 8194 BANET RD
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City | FLOYDS KNOBS
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State | IN
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Zip | 47119-8742
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Country | US
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Telephone | 502-940-8844
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Fax |
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Provider Business Mailing Address
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Address Line | 8194 BANET RD
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City | FLOYDS KNOBS
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State | IN
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Zip | 47119-8742
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Country | US
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Telephone | 502-940-8844
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 1030294069
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License Number State | IN
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