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General NPI Number Information
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NPI Number | 1609189562
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Entity Type | Individual
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Provider Name | JOY ALLISON CONDIE MD
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Gender | Female
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Dates
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Enumeration Date | 07/21/2010
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Last Update Date | 11/18/2011
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Provider Practice Location Address
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Address Line | 300 W CLARENDON AVE STE 375
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City | PHOENIX
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State | AZ
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Zip | 85013-3476
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Country | US
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Telephone | 602-277-4161
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Fax | 602-266-3481
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Provider Business Mailing Address
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Address Line | 300 W CLARENDON AVE STE 375
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City | PHOENIX
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State | AZ
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Zip | 85013-3476
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Country | US
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Telephone | 602-277-4161
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Fax | 602-266-3481
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 036.120174
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 45252
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License Number State | AZ
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