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General NPI Number Information
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NPI Number | 1427308022
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Entity Type | Individual
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Provider Name | JOSHUA COREY STERN L.M.T.
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Gender | Male
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Dates
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Enumeration Date | 09/12/2012
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Last Update Date | 09/12/2012
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Provider Practice Location Address
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Address Line | 10631 STONEBRIDGE BLVD.
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City | BOCA RATON
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State | FL
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Zip | 33498
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Country | US
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Telephone | 561-843-7155
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Fax |
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Provider Business Mailing Address
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Address Line | 5300 W. ATLANTIC AVE. 500
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City | DELRAY BEACH
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State | FL
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Zip | 33484
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Country | US
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Telephone | 561-843-7155
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA 57531
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License Number State | FL
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