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General NPI Number Information
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NPI Number | 1790669695
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Entity Type | Individual
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Provider Name | JOSHUA N SHIELDS
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Gender |
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 151 FRIES MILL RD STE 301
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City | TURNERSVILLE
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State | NJ
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Zip | 08012-2016
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Country | US
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Telephone | 856-589-3420
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Fax |
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Provider Business Mailing Address
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Address Line | 420 N 4TH ST
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City | HAMMONTON
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State | NJ
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Zip | 08037-1927
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Country | US
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Telephone | 609-364-6238
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 37AC00896700
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License Number State | NJ
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