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NPI 1720759020

NPI 1720759020 : JOSHUA SOWLE NP : JOHNSON CITY, NY

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General NPI Number Information
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    NPI Number           |    1720759020
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    Entity Type          |    Individual 
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    Provider Name        |    JOSHUA SOWLE NP
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/26/2021
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    Last Update Date     |    08/12/2026
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Provider Practice Location Address
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    Address Line         |    156 CORLISS AVE, STE 107 
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    City                 |    JOHNSON CITY
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    State                |    NY
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    Zip                  |    13790
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    Country              |    US
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    Telephone            |    607-763-6735
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    350 E HANDSOME BROOK RD 
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    City                 |    FRANKLIN
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    State                |    NY
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    Zip                  |    13775-3720
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    Country              |    US
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    Telephone            |    
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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        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    721733
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    163WC0200X
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    Taxonomy Name        |    Critical Care Medicine Registered Nurse
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    License Number       |    721733
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    License Number State |    NY
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Taxonomy #3
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    310363
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    License Number State |    NY
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