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General NPI Number Information
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NPI Number | 1033278445
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Entity Type | Organization
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Legal Business Name | JOY MOBILITY & MEDICAL SUPPLIES
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 08/18/2008
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Provider Practice Location Address
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Address Line | 3280 E. TROPICANA AVENUE SUITE D
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City | LAS VEGAS
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State | NV
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Zip | 89121-7344
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Country | US
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Telephone | 702-434-2458
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Fax | 702-434-7072
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Provider Business Mailing Address
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Address Line | 3280 E. TROPICANA AVENUE SUITE D
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City | LAS VEGAS
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State | NV
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Zip | 89121-7344
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Country | US
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Telephone | 702-434-2458
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Fax | 702-434-7072
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. ISADORA DEGUZMAN TAGUD
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Credential |
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Telephone | 702-434-2458
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 2000126424
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License Number State | NV
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