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General NPI Number Information
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NPI Number | 1245630185
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Entity Type | Individual
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Provider Name | JOSHUA R GILL DPT
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Gender | Male
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Dates
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Enumeration Date | 08/28/2014
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 918 BAUMAN LN
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City | HARRISBURG
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State | IL
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Zip | 62946-3322
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Country | US
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Telephone | 188-410-0936
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3276
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City | EVANSVILLE
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State | IN
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Zip | 47731-3276
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Country | US
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Telephone | 812-473-0181
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Fax | 812-492-6498
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 070018008
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License Number State | IL
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