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General NPI Number Information
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NPI Number | 1750815932
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Entity Type | Organization
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Legal Business Name | THE JOSHUA SCHOOL
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Dates
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Enumeration Date | 04/14/2017
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Last Update Date | 04/14/2017
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Provider Practice Location Address
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Address Line | 5760 E OTERO AVE
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City | CENTENNIAL
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State | CO
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Zip | 80112-3064
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Country | US
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Telephone | 720-316-5234
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Fax |
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Provider Business Mailing Address
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Address Line | 2303 E DARTMOUTH AVE
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City | ENGLEWOOD
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State | CO
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Zip | 80113-3079
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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 | PROGRAM DIRECTOR
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Name | JAMIE COHEN
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Credential |
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Telephone | 720-316-5234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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