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NPI 1093838583

NPI 1093838583 : JOY EDWARDS-BECKETT PHD, DNSC, FNP.C, CW : THOUSAND OAKS, CA

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General NPI Number Information
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    NPI Number           |    1093838583
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    Entity Type          |    Individual 
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    Provider Name        |    JOY EDWARDS-BECKETT PHD, DNSC, FNP.C, CW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/09/2007
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    Last Update Date     |    08/19/2010
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Provider Practice Location Address
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    Address Line         |    2220 LYNN RD SUITE 102
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    City                 |    THOUSAND OAKS
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    State                |    CA
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    Zip                  |    91360-1904
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    Country              |    US
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    Telephone            |    805-494-1222
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    Fax                  |    805-494-1255
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Provider Business Mailing Address
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    Address Line         |    1129 MARICOPA HWY # 209
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    City                 |    OJAI
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    State                |    CA
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    Zip                  |    93023-3167
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    Country              |    US
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    Telephone            |    805-907-0876
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    Fax                  |    805-640-0868
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    16925
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    563873
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    License Number State |    CA
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Taxonomy #3
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    Taxonomy Code        |    163WW0000X
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    Taxonomy Name        |    Wound Care Registered Nurse
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    License Number       |    2005454535
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    License Number State |    CA
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