Basic Information
Provider Information
NPI: 1225792823
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JOSHI
FirstName: ALOKA
MiddleName:  
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Mailing Information
Address1: 1000 JEFFERSON ST STE 2C
Address2:  
City: LYNCHBURG
State: VA
PostalCode: 245041724
CountryCode: US
TelephoneNumber: 8552847483
FaxNumber: 6178070958
Practice Location
Address1: 4115 W SPRUCE ST STE 205
Address2:  
City: TAMPA
State: FL
PostalCode: 336072485
CountryCode: US
TelephoneNumber: 8552847483
FaxNumber: 6178070958
Other Information
ProviderEnumerationDate: 10/29/2021
LastUpdateDate: 10/29/2021
NPIDeactivationReasonCode:  
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NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate: 10/29/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103T00000XPY11141FLY Behavioral Health & Social Service ProvidersPsychologist 

No ID Information.


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