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General NPI Number Information
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NPI Number | 1437453065
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Entity Type | Individual
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Provider Name | JOSHUA CONOVER BROUGH DPT
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Gender | Male
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Dates
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Enumeration Date | 12/21/2010
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 10654 S RIVER HEIGHTS DR STE 240
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City | SOUTH JORDAN
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State | UT
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Zip | 84095-5541
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Country | US
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Telephone | 801-261-9155
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Fax |
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Provider Business Mailing Address
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Address Line | 10654 S RIVER HEIGHTS DR STE 240
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City | SOUTH JORDAN
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State | UT
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Zip | 84095-5541
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Country | US
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Telephone | 801-261-9155
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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 | 7662841-2401
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 26227
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License Number State | FL
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