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NPI 1649848540

NPI 1649848540 : JOY FUJII HOLCOMB NP : SARATOGA SPRINGS, NY

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General NPI Number Information
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    NPI Number           |    1649848540
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    Entity Type          |    Individual 
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    Provider Name        |    JOY FUJII HOLCOMB NP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/16/2021
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    Last Update Date     |    06/16/2021
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Provider Practice Location Address
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    Address Line         |    192 CIRCULAR ST APT 1 
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    City                 |    SARATOGA SPRINGS
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    State                |    NY
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    Zip                  |    12866-2303
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    Country              |    US
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    Telephone            |    736-331-9157
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    192 CIRCULAR ST APT 1 
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    City                 |    SARATOGA SPRINGS
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    State                |    NY
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    Zip                  |    12866-2303
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    Country              |    US
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    Telephone            |    
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    347409
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    License Number State |    NY
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