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General NPI Number Information
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NPI Number | 1437068871
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Entity Type | Organization
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Legal Business Name | JOYFUL CLINICS MEDICAL GROUP PC
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Dates
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Enumeration Date | 09/02/2026
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | 11844 STANDING STONE DR
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City | GRETNA
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State | NE
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Zip | 68028-8110
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Country | US
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Telephone | 402-800-8595
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Fax |
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Provider Business Mailing Address
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Address Line | 102 S UNION ST
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City | ALEXANDRIA
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State | VA
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Zip | 22314-3324
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DOUG ELWOOD
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Credential |
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Telephone | 347-218-0393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number |
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License Number State |
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