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NPI 1285079418

NPI 1285079418 : JOY J KING AGPCNP-BC, PMHNP-BC : MAYFIELD HEIGHTS, OH

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General NPI Number Information
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    NPI Number           |    1285079418
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    Entity Type          |    Individual 
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    Provider Name        |    JOY J KING AGPCNP-BC, PMHNP-BC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/01/2013
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    Last Update Date     |    01/05/2026
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Provider Practice Location Address
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    Address Line         |    6803 MAYFIELD RD STE 500 
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    City                 |    MAYFIELD HEIGHTS
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    State                |    OH
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    Zip                  |    44124-2215
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    Country              |    US
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    Telephone            |    216-337-6321
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6803 MAYFIELD RD STE 500 
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    City                 |    MAYFIELD HEIGHTS
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    State                |    OH
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    Zip                  |    44124-2215
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    Country              |    US
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    Telephone            |    216-444-5812
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    Fax                  |    440-312-7488
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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        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    COA.14466-NP
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    APRN.CNP.14466
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    License Number State |    OH
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Taxonomy #3
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    2021036544
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    License Number State |    OH
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Taxonomy #4
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    2012022366
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    License Number State |    OH
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