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NPI 1316553597

NPI 1316553597 : JOSHUA EDWARD BIGTING DPT : CHALMETTE, LA

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General NPI Number Information
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    NPI Number           |    1316553597
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    Entity Type          |    Individual 
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    Provider Name        |    JOSHUA EDWARD BIGTING DPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/22/2020
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    Last Update Date     |    09/22/2020
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Provider Practice Location Address
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    Address Line         |    3317 PARIS RD 
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    City                 |    CHALMETTE
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    State                |    LA
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    Zip                  |    70043-2217
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    Country              |    US
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    Telephone            |    504-766-7532
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    Fax                  |    504-581-8849
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Provider Business Mailing Address
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    Address Line         |    2000 PELITERE DR 
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    City                 |    CHALMETTE
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    State                |    LA
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    Zip                  |    70043-5244
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    Country              |    US
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    Telephone            |    504-914-5867
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    10698
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    License Number State |    LA
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