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General NPI Number Information
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NPI Number | 1780511139
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Entity Type | Organization
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Legal Business Name | JOSHUA WOOD TELE MD PLLC
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Dates
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Enumeration Date | 05/07/2026
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Last Update Date | 05/07/2026
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Provider Practice Location Address
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Address Line | 8100 OPPORTUNITY DR STE A
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City | MILTON
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State | FL
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Zip | 32583-8727
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Country | US
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Telephone | 561-423-9926
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Fax |
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Provider Business Mailing Address
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Address Line | 8100 OPPORTUNITY DR STE A
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City | MILTON
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State | FL
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Zip | 32583-8727
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Country | US
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Telephone | 561-423-9926
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOSHUA WILLIAM ANCEL WOOD
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Credential |
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Telephone | 574-780-6975
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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