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General NPI Number Information
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NPI Number | 1316226368
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Entity Type | Individual
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Provider Name | JOSHUA HARDY PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 08/09/2011
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Last Update Date | 01/18/2022
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Provider Practice Location Address
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Address Line | 321 ROOD AVE UNIT 100
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-2420
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Country | US
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Telephone | 970-325-6026
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Fax |
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Provider Business Mailing Address
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Address Line | 406 CHIPETA AVE
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-2532
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Country | US
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Telephone | 402-480-4785
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PTL-11230
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License Number State | CO
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