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General NPI Number Information
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NPI Number | 1992431670
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Entity Type | Individual
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Provider Name | JOSHUA DILLON PA-C
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Gender | Male
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Dates
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Enumeration Date | 07/26/2022
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Last Update Date | 07/06/2023
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Provider Practice Location Address
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Address Line | 2020 59TH ST W
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City | BRADENTON
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State | FL
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Zip | 34209-4604
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Country | US
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Telephone | 941-365-2600
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Fax |
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Provider Business Mailing Address
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Address Line | 171 GOLDEN GATE PT APT 6
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City | SARASOTA
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State | FL
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Zip | 34236-6650
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Country | US
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Telephone | 941-210-8945
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Fax |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9117436
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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