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General NPI Number Information
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NPI Number | 1508574187
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Entity Type | Individual
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Provider Name | JOY FOURNIER L.AC
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Gender | Female
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Dates
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Enumeration Date | 11/11/2022
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Last Update Date | 11/11/2022
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Provider Practice Location Address
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Address Line | 2601 MOUNTAIN RD
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City | PASADENA
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State | MD
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Zip | 21122-1215
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Country | US
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Telephone | 862-220-2476
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Fax |
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Provider Business Mailing Address
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Address Line | 205A BOXWOOD RD APT 104
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City | ANNAPOLIS
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State | MD
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Zip | 21403-1160
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Country | US
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Telephone | 862-220-2476
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | U02373
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License Number State | MD
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