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General NPI Number Information
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NPI Number | 1013179530
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Entity Type | Individual
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Provider Name | JOYCE ANN JEFFRIES DDS
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Gender | Female
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Dates
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Enumeration Date | 06/26/2008
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Last Update Date | 09/04/2013
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Provider Practice Location Address
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Address Line | 9674 EAGLE RANCH RD NW SUITE 1
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City | ALBUQUERQUE
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State | NM
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Zip | 87114-1580
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Country | US
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Telephone | 505-348-0087
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Fax | 505-796-5155
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Provider Business Mailing Address
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Address Line | 9674 EAGLE RANCH RD NW SUITE 1
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City | ALBUQUERQUE
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State | NM
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Zip | 87114-1580
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Country | US
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Telephone | 505-348-0087
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Fax | 505-796-5155
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | D0901
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License Number State | SD
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DD3715
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License Number State | NM
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