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General NPI Number Information
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NPI Number | 1306871462
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Entity Type | Individual
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Provider Name | JOEL CLARK WEBB M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 04/30/2020
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Provider Practice Location Address
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Address Line | 4610 JEFFERSON LN NE WOMEN'S CANCER AND SURGICAL CARE, PC
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-2117
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Country | US
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Telephone | 505-559-4495
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Fax | 505-842-8025
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Provider Business Mailing Address
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Address Line | 4610 JEFFERSON LN NE WOMEN'S CANCER AND SURGICAL CARE, PC
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-2117
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Country | US
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Telephone | 505-559-4495
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Fax | 505-842-8025
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 9601516
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | MD60215295
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | 93-421
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License Number State | NM
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