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General NPI Number Information
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NPI Number | 1265235576
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Entity Type | Individual
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Provider Name | JOSHUA ANTHONY
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Gender |
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 27-714 0LD ONOMEA RD
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City | PEPEEKEO
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State | HI
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Zip | 96783
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Country | US
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Telephone | 808-937-0646
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 831104
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City | PEPEEKEO
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State | HI
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Zip | 96783-1071
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Country | US
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Telephone | 808-937-0646
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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 | LCSW-5320-0
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License Number State | HI
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