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General NPI Number Information
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NPI Number | 1316227150
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Entity Type | Individual
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Provider Name | JOSHUA DEARING MD
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Gender | Male
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Dates
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Enumeration Date | 08/25/2011
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 7503 SURRATTS RD STE 208
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City | CLINTON
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State | MD
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Zip | 20735-3358
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Country | US
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Telephone | 919-265-3311
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Fax |
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Provider Business Mailing Address
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Address Line | 7503 SURRATTS RD STE 208
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City | CLINTON
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State | MD
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Zip | 20735-3358
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Country | US
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Telephone | 919-265-3311
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | MD043369
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | D83184
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License Number State | MD
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