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General NPI Number Information
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NPI Number | 1912877002
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Entity Type | Individual
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Provider Name | JOSHUA DENNETT PRADO
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Gender | Male
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Dates
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Enumeration Date | 11/05/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 512 E EDINBURG AVE
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City | ELSA
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State | TX
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Zip | 78543-3007
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Country | US
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Telephone | 956-262-9719
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Fax | 866-319-9439
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Provider Business Mailing Address
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Address Line | 512 E EDINBURG AVE
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City | ELSA
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State | TX
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Zip | 78543-3007
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Country | US
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Telephone | 956-262-9719
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Fax | 866-319-9439
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 297064
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License Number State | TX
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