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General NPI Number Information
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NPI Number | 1912633892
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Entity Type | Individual
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Provider Name | JOSHUA CORTES LCSW
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Gender | Male
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Dates
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Enumeration Date | 07/25/2022
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Last Update Date | 05/17/2025
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Provider Practice Location Address
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Address Line | 350 CENTER ROCK GRN STE 10D
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City | OXFORD
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State | CT
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Zip | 06478-3170
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Country | US
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Telephone | 203-450-9772
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Fax | 475-253-3237
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Provider Business Mailing Address
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Address Line | 95 BLANCHARD RD
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City | EASTON
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State | CT
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Zip | 06612-1933
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Country | US
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Telephone | 203-450-9655
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Fax | 475-253-3237
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 14241
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License Number State | CT
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