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General NPI Number Information
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NPI Number | 1235277666
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Entity Type | Organization
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Legal Business Name | JOSHUA'S CARE LLC
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1543 CADDY LN
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City | WICHITA
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State | KS
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Zip | 67212-1235
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Country | US
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Telephone | 316-260-7923
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Fax | 316-201-1841
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Provider Business Mailing Address
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Address Line | 1543 CADDY LN
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City | WICHITA
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State | KS
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Zip | 67212-1235
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Country | US
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Telephone | 316-260-7923
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Fax | 316-201-1841
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Authorized Official
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Title or Position | PARTNER
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Name | MS. NEILA JOY CUNDITH
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Credential |
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Telephone | 316-260-7923
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | KS
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