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NPI 1073273421

NPI 1073273421 : JOY LYNN MAGGARD RRT : YPSILANTI, MI

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General NPI Number Information
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    NPI Number           |    1073273421
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    Entity Type          |    Individual 
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    Provider Name        |    JOY LYNN MAGGARD RRT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/27/2021
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    Last Update Date     |    12/27/2021
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Provider Practice Location Address
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    Address Line         |    944 MAPLEWOOD AVE 
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    City                 |    YPSILANTI
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    State                |    MI
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    Zip                  |    48198-5872
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    Country              |    US
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    Telephone            |    734-787-2767
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    944 MAPLEWOOD AVE 
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    City                 |    YPSILANTI
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    State                |    MI
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    Zip                  |    48198-5872
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    Country              |    US
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    Telephone            |    734-787-2767
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    Fax                  |    
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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        |    227900000X
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    Taxonomy Name        |    Registered Respiratory Therapist
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    License Number       |    RT22001
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    227900000X
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    Taxonomy Name        |    Registered Respiratory Therapist
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    License Number       |    RTL.0007299
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    License Number State |    CO
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Taxonomy #3
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    Taxonomy Code        |    227900000X
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    Taxonomy Name        |    Registered Respiratory Therapist
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    License Number       |    12569690-5701
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    License Number State |    UT
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Taxonomy #4
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    Taxonomy Code        |    2279C0205X
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    Taxonomy Name        |    Critical Care Registered Respiratory Therapist
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    License Number       |    4401004540
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    License Number State |    MI
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