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General NPI Number Information
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NPI Number | 1710861562
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Entity Type | Individual
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Provider Name | MR. JOSHUA A PEARSON
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Gender | Male
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 11240 HILLWOOD DR SE
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City | HUNTSVILLE
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State | AL
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Zip | 35803-1510
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Country | US
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Telephone | 334-763-1097
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Fax |
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Provider Business Mailing Address
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Address Line | 11240 HILLWOOD DR SE
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City | HUNTSVILLE
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State | AL
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Zip | 35803-1510
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Country | US
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Telephone | 334-763-1097
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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 | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number | 9286463
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License Number State | AL
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