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General NPI Number Information
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NPI Number | 1295562296
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Entity Type | Individual
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Provider Name | JOSHUA ALEXANDER DIGGINS ATC
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Gender | Male
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Dates
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Enumeration Date | 09/16/2024
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 23350 SOUTHAMPTON PKWY
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City | COURTLAND
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State | VA
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Zip | 23837-2328
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Country | US
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Telephone | 757-653-2751
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Fax |
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Provider Business Mailing Address
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Address Line | 13465 S VILLAGE WAY
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City | CARROLLTON
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State | VA
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Zip | 23314-3606
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Country | US
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Telephone | 443-754-3338
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 0126004378
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License Number State | VA
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