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General NPI Number Information
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NPI Number | 1366261935
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Entity Type | Individual
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Provider Name | JOIE TEJADA FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/09/2024
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 30 E APPLE ST # 5254
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City | DAYTON
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State | OH
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Zip | 45409-2939
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Country | US
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Telephone | 937-208-4200
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Fax |
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Provider Business Mailing Address
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Address Line | 6211 MILLSTONE CT
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City | MILFORD
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State | OH
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Zip | 45150-2244
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Country | US
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Telephone | 513-658-8435
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.0037234
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License Number State | OH
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