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General NPI Number Information
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NPI Number | 1912512831
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Entity Type | Organization
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Legal Business Name | JOSHUA ROOKS, PHD, LLC
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Dates
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Enumeration Date | 09/09/2020
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Last Update Date | 09/09/2020
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Provider Practice Location Address
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Address Line | 7328 JACARANDA LN
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2670
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Country | US
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Telephone | 616-403-5958
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Fax |
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Provider Business Mailing Address
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Address Line | 7328 JACARANDA LN
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2670
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Country | US
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Telephone | 616-403-5958
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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 ROOKS
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Credential |
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Telephone | 616-403-5958
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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