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General NPI Number Information
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NPI Number | 1649709478
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Entity Type | Individual
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Provider Name | JOSHUA KELLY SLUSHER DO
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Gender | Male
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Dates
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Enumeration Date | 06/06/2017
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Last Update Date | 10/17/2023
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Provider Practice Location Address
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Address Line | 2000 LITTON LN
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City | HEBRON
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State | KY
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Zip | 41048-8611
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Country | US
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Telephone | 859-334-8700
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Fax | 859-334-8707
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Provider Business Mailing Address
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Address Line | 2000 LITTON LN
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City | HEBRON
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State | KY
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Zip | 41048-8611
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Country | US
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Telephone | 859-334-8700
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Fax | 859-334-8707
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34.015128
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2022044426
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 05611
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License Number State | KY
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