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General NPI Number Information
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NPI Number | 1619667391
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Entity Type | Organization
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Legal Business Name | JOY NP IN FAMILY HEALTH PLLC
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Dates
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Enumeration Date | 05/08/2023
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Last Update Date | 05/08/2023
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Provider Practice Location Address
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Address Line | 4 HIGHLAWN AVE
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City | BROOKLYN
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State | NY
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Zip | 11223-2428
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Country | US
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Telephone | 646-801-3772
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Fax |
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Provider Business Mailing Address
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Address Line | 2108 ROCKAWAY PKWY
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City | BROOKLYN
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State | NY
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Zip | 11236-5802
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Country | US
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Telephone | 347-935-4251
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JESSICA ORCHIER
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Credential | FNP-C
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Telephone | 347-935-4251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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