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General NPI Number Information
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NPI Number | 1043029606
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Entity Type | Individual
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Provider Name | MADISON JOYNER OT
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Gender | Female
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Dates
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Enumeration Date | 01/07/2025
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 38 MEDICAL CENTER DR
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City | BROWNSVILLE
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State | TN
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Zip | 38012-2544
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Country | US
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Telephone | 731-772-5213
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Fax | 731-772-3209
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Provider Business Mailing Address
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Address Line | 257 BANCORP SOUTH PKWY
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City | JACKSON
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State | TN
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Zip | 38305-7582
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Country | US
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Telephone | 731-660-8781
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Fax | 731-660-8739
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 8178
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License Number State | TN
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