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General NPI Number Information
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NPI Number | 1710750187
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Entity Type | Individual
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Provider Name | JOSHUA GERSHENSON RBT
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Gender | Male
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Dates
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Enumeration Date | 11/06/2023
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Last Update Date | 11/06/2023
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Provider Practice Location Address
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Address Line | 21011 NE 25TH CT
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City | AVENTURA
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State | FL
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Zip | 33180-1033
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Country | US
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Telephone | 305-832-9419
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Fax |
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Provider Business Mailing Address
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Address Line | 301 174TH ST APT M03
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City | SUNNY ISLES BEACH
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State | FL
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Zip | 33160-3228
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Country | US
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Telephone | 718-427-0500
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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