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General NPI Number Information
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NPI Number | 1649921347
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Entity Type | Organization
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Legal Business Name | JOYFUL NOISE SPEECH AND LANGUAGE THERAPY SERVICES
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Dates
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Enumeration Date | 01/13/2022
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Last Update Date | 01/13/2022
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Provider Practice Location Address
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Address Line | 833 LONG LAKE DR
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City | JACKSONVILLE
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State | FL
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Zip | 32225-5900
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Country | US
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Telephone | 904-257-3274
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Fax |
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Provider Business Mailing Address
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Address Line | 13245 ATLANTIC BLVD STE 4-233
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City | JACKSONVILLE
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State | FL
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Zip | 32225-7121
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Country | US
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Telephone | 904-257-3274
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | PHYLLIS CAREY
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Credential |
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Telephone | 904-257-3274
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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