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General NPI Number Information
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NPI Number | 1699172999
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Entity Type | Individual
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Provider Name | JOSHUA MAURICE GRATTON CSFA, OA-C, ATC
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Gender | Male
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Dates
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Enumeration Date | 12/02/2014
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Last Update Date | 12/02/2014
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Provider Practice Location Address
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Address Line | 2353 NW 139TH AVE
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City | SUNRISE
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State | FL
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Zip | 33323-5331
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Country | US
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Telephone | 954-304-7466
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Fax |
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Provider Business Mailing Address
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Address Line | 2353 NW 139TH AVE
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City | SUNRISE
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State | FL
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Zip | 33323-5331
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Country | US
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Telephone | 954-304-7466
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AL3207
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 246ZX2200X
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Taxonomy Name | Orthopedic Assistant
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License Number |
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License Number State |
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