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General NPI Number Information
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NPI Number | 1700431434
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Entity Type | Individual
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Provider Name | JOSHUA KATIB
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Gender | Male
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Dates
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Enumeration Date | 08/08/2019
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Last Update Date | 08/15/2022
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Provider Practice Location Address
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Address Line | 4741 OLD CANOE CREEK RD
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City | SAINT CLOUD
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State | FL
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Zip | 34769-1400
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Country | US
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Telephone | 407-426-4319
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Fax |
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Provider Business Mailing Address
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Address Line | 296 TALISI LOOP
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City | SAINT CLOUD
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State | FL
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Zip | 34771-9160
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Country | US
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Telephone | 719-360-9680
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | NLC.0109178
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH20854
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License Number State | FL
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