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General NPI Number Information
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NPI Number | 1053886218
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Entity Type | Organization
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Legal Business Name | JOYCE AYCOCK MD PC
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Dates
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Enumeration Date | 10/03/2018
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Last Update Date | 08/29/2024
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Provider Practice Location Address
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Address Line | 4600 HALE PKWY STE 440
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City | DENVER
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State | CO
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Zip | 80220-4000
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Country | US
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Telephone | 720-634-7400
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Fax |
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Provider Business Mailing Address
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Address Line | 4600 HALE PKWY STE 440
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City | DENVER
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State | CO
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Zip | 80220-4000
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Country | US
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Telephone | 720-634-7400
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOYCE AYCOCK
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Credential | MD
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Telephone | 773-610-6672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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