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General NPI Number Information
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NPI Number | 1689815490
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Entity Type | Organization
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Legal Business Name | THE JOSHUA GROUP LLC
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Dates
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Enumeration Date | 03/09/2009
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Last Update Date | 03/09/2009
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Provider Practice Location Address
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Address Line | 3564 AVALON PARK BLVD E SUITE 1 #263
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City | ORLANDO
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State | FL
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Zip | 32828-4822
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Country | US
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Telephone | 407-701-7037
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Fax | 407-264-8710
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Provider Business Mailing Address
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Address Line | 3564 AVALON PARK BLVD E STE 1-263
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City | ORLANDO
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State | FL
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Zip | 32828-7365
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Country | US
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Telephone | 407-701-7037
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Fax | 407-264-8710
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CYNTHIA LEE WILLIAMS
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Credential | PT
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Telephone | 407-701-7037
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 229883
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License Number State | FL
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