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General NPI Number Information
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NPI Number | 1245629542
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Entity Type | Organization
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Legal Business Name | JOSHUA & JOSHUA MD PA
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Dates
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Enumeration Date | 01/10/2015
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Last Update Date | 01/10/2015
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Provider Practice Location Address
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Address Line | 3918 VIA POINCIANA SUITE 1
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City | LAKE WORTH
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State | FL
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Zip | 33467-2991
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Country | US
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Telephone | 561-439-4682
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Fax | 561-968-0483
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Provider Business Mailing Address
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Address Line | 3918 VIA POINCIANA SUITE 1
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City | LAKE WORTH
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State | FL
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Zip | 33467-2991
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Country | US
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Telephone | 561-439-4682
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Fax | 561-968-0483
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | LYNNE LEROSE
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Credential |
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Telephone | 561-439-4682
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | ME39190
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | ME39021
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License Number State | FL
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