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General NPI Number Information
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NPI Number | 1003054180
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Entity Type | Organization
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Legal Business Name | JOY K OKEEFFE DMD, P.C.
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Dates
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Enumeration Date | 01/28/2009
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Last Update Date | 01/28/2009
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Provider Practice Location Address
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Address Line | 752 WASHINGTON ST SUITE 15
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City | PEMBROKE
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State | MA
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Zip | 02359-2311
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Country | US
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Telephone | 781-826-3500
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Fax | 781-826-8727
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Provider Business Mailing Address
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Address Line | 752 WASHINGTON ST SUITE 15
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City | PEMBROKE
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State | MA
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Zip | 02359-2311
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Country | US
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Telephone | 781-826-3500
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Fax | 781-826-8727
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOY K OKEEFFE
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Credential | DMD
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Telephone | 781-826-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 15534
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License Number State | MA
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