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General NPI Number Information
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NPI Number | 1346246741
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Entity Type | Individual
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Provider Name | JOEY A ROY DDS
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Gender | Male
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 11/15/2021
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Provider Practice Location Address
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Address Line | 1616 13TH AVE STE 200
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City | HUNTINGTON
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State | WV
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Zip | 25701-3840
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Country | US
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Telephone | 304-691-1247
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 408
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City | WEST HAMLIN
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State | WV
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Zip | 25571-0408
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Country | US
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Telephone | 304-824-7704
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Fax | 304-824-7705
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D2577
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License Number State | WV
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