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General NPI Number Information
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NPI Number | 1033200589
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Entity Type | Organization
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Legal Business Name | JOYCE LENDER MD INC.
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1268 EAST BROAD STREET SUITE # 1
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City | ELYRIA
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State | OH
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Zip | 44035
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Country | US
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Telephone | 440-899-6725
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Fax |
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Provider Business Mailing Address
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Address Line | 1268 EAST BROAD STREET SUITE # 1
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City | ELYRIA
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State | OH
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Zip | 44035
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Country | US
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Telephone | 440-899-6725
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOYCE A LENDER
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Credential | MD
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Telephone | 440-899-6725
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 35.055705
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License Number State | OH
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