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General NPI Number Information
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NPI Number | 1952721144
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Entity Type | Individual
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Provider Name | JOSHUA MICHAEL HEDRICK MD
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Gender | Male
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Dates
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Enumeration Date | 04/26/2014
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 1270 PRINCE AVE STE 303
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City | ATHENS
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State | GA
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Zip | 30606-2783
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Country | US
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Telephone | 706-475-7055
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Fax |
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Provider Business Mailing Address
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Address Line | 1270 PRINCE AVE STE 303
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City | ATHENS
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State | GA
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Zip | 30606-2783
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Country | US
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Telephone | 706-475-7980
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Fax | 706-475-7982
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | ME139478
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 95050
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 95050
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License Number State | GA
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