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General NPI Number Information
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NPI Number | 1386677557
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Entity Type | Organization
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Legal Business Name | JOYCE FAMILY CHIROPRACTIC INC.
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 05/15/2015
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Provider Practice Location Address
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Address Line | 3440 W 111TH ST
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City | CHICAGO
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State | IL
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Zip | 60655-3302
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Country | US
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Telephone | 773-429-8912
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Fax | 773-429-9850
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Provider Business Mailing Address
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Address Line | 3440 W 111TH ST
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City | CHICAGO
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State | IL
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Zip | 60655-3302
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Country | US
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Telephone | 773-429-8912
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Fax | 773-429-9850
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN JOSEPH JOYCE
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Credential | D.C.
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Telephone | 773-429-8912
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 070011492
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038-010196
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License Number State | IL
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