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General NPI Number Information
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NPI Number | 1194279877
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Entity Type | Organization
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Legal Business Name | JOYNER THERAPY SERVIES
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Dates
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Enumeration Date | 08/10/2016
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Last Update Date | 08/10/2016
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Provider Practice Location Address
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Address Line | 108 APRIL AVE
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City | CARMI
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State | IL
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Zip | 62821-1577
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Country | US
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Telephone | 161-838-2277
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Fax |
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Provider Business Mailing Address
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Address Line | 108 APRIL AVE
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City | CARMI
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State | IL
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Zip | 62821-1577
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Country | US
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Telephone | 161-838-2277
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JAYMIE CASHION
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Credential |
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Telephone | 16189989894
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 160007624
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License Number State | IL
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