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General NPI Number Information
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NPI Number | 1518536853
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Entity Type | Individual
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Provider Name | JOSHUA ADAM PAUL LMT
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Gender | Male
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Dates
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Enumeration Date | 06/21/2021
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Last Update Date | 06/21/2021
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Provider Practice Location Address
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Address Line | 1603 EDMONDSON AVE
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City | CATONSVILLE
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State | MD
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Zip | 21228-4960
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Country | US
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Telephone | 667-888-7473
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Fax |
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Provider Business Mailing Address
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Address Line | 2804 BELLFLOWER CT
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City | HAMPSTEAD
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State | MD
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Zip | 21074-1711
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Country | US
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Telephone | 443-605-2884
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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 | M06232
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License Number State | MD
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