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General NPI Number Information
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NPI Number | 1205011798
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Entity Type | Organization
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Legal Business Name | JOYCE L. RICHARDS, D.O. P.C.
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Dates
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Enumeration Date | 01/03/2008
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Last Update Date | 02/01/2012
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Provider Practice Location Address
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Address Line | 203 S CANDY LN STE 2A
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City | COTTONWOOD
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State | AZ
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Zip | 86326-4120
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Country | US
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Telephone | 928-634-5700
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Fax | 928-634-8115
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Provider Business Mailing Address
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Address Line | 203 S CANDY LN STE 2A
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City | COTTONWOOD
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State | AZ
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Zip | 86326-4120
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Country | US
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Telephone | 928-634-5700
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Fax | 928-634-8115
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | LAUREL A MORRIS
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Credential | CPC
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Telephone | 928-634-5700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 2091
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License Number State | AZ
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