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General NPI Number Information
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NPI Number | 1487999280
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Entity Type | Individual
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Provider Name | JOSH A CORBIN OTR
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Gender | Male
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Dates
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Enumeration Date | 12/05/2012
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Last Update Date | 10/26/2021
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Provider Practice Location Address
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Address Line | 34 ELK TRL
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City | WALSENBURG
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State | CO
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Zip | 81089-8556
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Country | US
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Telephone | 719-634-1110
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 108
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City | WALSENBURG
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State | CO
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Zip | 81089-0108
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Country | US
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Telephone | 719-994-0148
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 1327
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License Number State | CO
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