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General NPI Number Information
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NPI Number | 1851701650
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Entity Type | Individual
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Provider Name | JOSHUA KWON
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Gender | Male
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Dates
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Enumeration Date | 05/01/2014
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Last Update Date | 01/23/2020
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Provider Practice Location Address
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Address Line | 9040 FRIARS RD STE 410
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City | SAN DIEGO
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State | CA
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Zip | 92108-5862
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Country | US
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Telephone | 619-398-3455
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Fax | 619-398-3458
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Provider Business Mailing Address
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Address Line | 9040 FRIARS RD STE 410
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City | SAN DIEGO
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State | CA
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Zip | 92108-5862
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Country | US
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Telephone | 619-398-3455
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Fax | 630-575-7450
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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 | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | 18905
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License Number State | CA
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