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General NPI Number Information
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NPI Number | 1285040543
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Entity Type | Individual
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Provider Name | JOSHUA FAY
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Gender | Male
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Dates
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Enumeration Date | 07/08/2014
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Last Update Date | 07/23/2024
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Provider Practice Location Address
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Address Line | 1255 KILAUEA AVE STE 200
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City | HILO
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State | HI
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Zip | 96720-4205
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Country | US
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Telephone | 305-597-3861
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Fax | 305-597-3863
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Provider Business Mailing Address
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Address Line | HC 3 BOX 11017
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City | KEAAU
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State | HI
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Zip | 96749-9205
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Country | US
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Telephone | 786-777-8584
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Fax | 305-597-3863
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | HI
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