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General NPI Number Information
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NPI Number | 1497240550
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Entity Type | Individual
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Provider Name | JOSHUA WILLIAM KIRTON PHD
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Gender | Male
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Dates
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Enumeration Date | 06/29/2018
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 1650 COCHRANE CIR UNIT MEDDAC
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City | COLORADO SPRINGS
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State | CO
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Zip | 80913-4604
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Country | US
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Telephone | 719-503-7853
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Fax |
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Provider Business Mailing Address
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Address Line | 1830, 6541 SPECKER AVE
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City | COLORADO SPRINGS
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State | CO
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Zip | 80913
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Country | US
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Telephone | 719-503-7853
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PSY.00004726
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 14217463-2501
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License Number State | UT
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