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General NPI Number Information
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NPI Number | 1477236115
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Entity Type | Individual
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Provider Name | JOSHUA DAVID LIND
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Gender | Male
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Dates
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Enumeration Date | 08/09/2023
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Last Update Date | 08/09/2023
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Provider Practice Location Address
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Address Line | 8081 WALNUT HILL LN STE 1000
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City | DALLAS
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State | TX
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Zip | 75231-4313
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Country | US
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Telephone | 214-239-0993
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Fax | 214-239-0998
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Provider Business Mailing Address
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Address Line | 107 BRISTOL CT
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City | COPPELL
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State | TX
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Zip | 75019-2131
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Country | US
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Telephone | 972-746-3243
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2154811
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License Number State | TX
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