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General NPI Number Information
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NPI Number | 1245796440
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Entity Type | Individual
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Provider Name | JOSHUA EDWARD FREEMAN LCSW
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Gender |
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Dates
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Enumeration Date | 02/13/2019
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Last Update Date | 06/20/2024
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Provider Practice Location Address
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Address Line | 230 N BELCREST AVE STE A
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City | SPRINGFIELD
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State | MO
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Zip | 65802-6287
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Country | US
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Telephone | 417-413-4676
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Fax | 417-763-3308
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Provider Business Mailing Address
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Address Line | 2885 W BATTLEFIELD ST
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City | SPRINGFIELD
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State | MO
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Zip | 65807-3952
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Country | US
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Telephone | 417-761-5214
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2020039618
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License Number State | MO
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