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General NPI Number Information
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NPI Number | 1992361158
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Entity Type | Individual
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Provider Name | JOSHUA DOUGLAS MAJERUS DC
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Gender | Male
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Dates
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Enumeration Date | 05/14/2019
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Last Update Date | 11/03/2023
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Provider Practice Location Address
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Address Line | 236 SIMPSON AVE
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City | ELKHART
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State | IN
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Zip | 46516-4666
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Country | US
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Telephone | 314-422-0696
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Fax |
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Provider Business Mailing Address
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Address Line | 5715 TOWN CENTER DR APT 6
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City | GRANGER
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State | IN
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Zip | 46530-4425
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Country | US
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Telephone | 314-432-2444
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Fax | 314-432-8161
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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 | 111NI0013X
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Taxonomy Name | Independent Medical Examiner Chiropractor
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License Number | 08003166A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 111NI0013X
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Taxonomy Name | Independent Medical Examiner Chiropractor
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License Number | 2019015447
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License Number State | MO
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