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NPI 1578943643

NPI 1578943643 : JOEL TODAY D.O. : TEMPLE, TX

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General NPI Number Information
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    NPI Number           |    1578943643
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    Entity Type          |    Individual 
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    Provider Name        |    JOEL TODAY D.O.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/04/2015
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    Last Update Date     |    12/16/2021
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Provider Practice Location Address
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    Address Line         |    7556 HONEYSUCKLE 
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    City                 |    TEMPLE
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    State                |    TX
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    Zip                  |    76502
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    Country              |    US
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    Telephone            |    254-742-7400
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    Fax                  |    254-742-7407
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Provider Business Mailing Address
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    Address Line         |    7556 HONEYSUCKLE 
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    City                 |    TEMPLE
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    State                |    TX
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    Zip                  |    76502-5631
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    Country              |    US
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    Telephone            |    254-742-7400
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    Fax                  |    254-742-7407
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    R5817
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    License Number State |    TX
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