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General NPI Number Information
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NPI Number | 1538433735
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Entity Type | Individual
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Provider Name | JOYCE GEORGE LPTA
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Gender | Female
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Dates
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Enumeration Date | 03/06/2012
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Last Update Date | 03/06/2012
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Provider Practice Location Address
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Address Line | 101 KIRKLAND ST
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City | UNION
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State | MS
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Zip | 39365-3205
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Country | US
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Telephone | 601-774-5258
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Fax | 601-774-5479
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Provider Business Mailing Address
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Address Line | 3527 NORTHSHORE DR
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City | TOOMSUBA
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State | MS
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Zip | 39364-9475
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Country | US
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Telephone | 601-479-6704
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA3984
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License Number State | MS
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