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General NPI Number Information
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NPI Number | 1346008877
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Entity Type | Individual
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Provider Name | JOSHUA BROOKS ALLEN FNP
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Gender | Male
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Dates
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Enumeration Date | 03/11/2024
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 303 FRASER DR
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City | HINESVILLE
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State | GA
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Zip | 31313-3712
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Country | US
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Telephone | 912-877-2227
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Fax | 912-877-2332
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Provider Business Mailing Address
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Address Line | PO BOX 214
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City | LOTHIAN
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State | MD
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Zip | 20711-0214
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Country | US
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Telephone | 864-327-7066
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R265483
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R265483
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN334335
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License Number State | GA
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