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General NPI Number Information
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NPI Number | 1003860040
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Entity Type | Individual
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Provider Name | JOYCE R TALAVERA MD
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Gender | Female
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 07/10/2019
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Provider Practice Location Address
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Address Line | 202 ELMER ST
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City | WESTFIELD
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State | NJ
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Zip | 07090-2128
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Country | US
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Telephone | 908-228-3675
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Fax | 908-654-1053
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Provider Business Mailing Address
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Address Line | 8 MOUNTAIN BLVD
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City | WARREN
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State | NJ
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Zip | 07059-2638
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Country | US
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Telephone | 908-222-0048
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Fax | 908-222-3709
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA08692700
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License Number State | NJ
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