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General NPI Number Information
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NPI Number | 1356873061
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Entity Type | Organization
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Legal Business Name | JOY FAMILY DENTISTRY, P.A.
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Dates
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Enumeration Date | 03/31/2017
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Last Update Date | 03/31/2017
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Provider Practice Location Address
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Address Line | 240 S FLAMINGO RD
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City | PEMBROKE PINES
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State | FL
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Zip | 33027-1721
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Country | US
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Telephone | 954-437-0033
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Fax | 954-437-7796
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Provider Business Mailing Address
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Address Line | 495 BRICKELL AVE APT 922
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City | MIAMI
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State | FL
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Zip | 33131-2769
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Country | US
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Telephone | 305-281-6329
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. BENJAMIN HARRISON JOY
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Credential | D.D.S.
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Telephone | 305-281-6329
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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