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General NPI Number Information
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NPI Number | 1679358410
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Entity Type | Individual
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Provider Name | JOSIAH FURROW OTR/L
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Gender | Male
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Dates
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Enumeration Date | 08/29/2023
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Last Update Date | 08/29/2023
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Provider Practice Location Address
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Address Line | 1900 SOUTH AVE
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City | LA CROSSE
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State | WI
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Zip | 54601-5496
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Country | US
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Telephone | 608-782-7300
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Fax |
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Provider Business Mailing Address
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Address Line | 1008 SUNRISE CT
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City | ONALASKA
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State | WI
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Zip | 54650-2101
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Country | US
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Telephone | 913-222-9457
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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 | 805726
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License Number State | WI
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