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General NPI Number Information
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NPI Number | 1669348355
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Entity Type | Individual
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Provider Name | JOY ALDERMAN PTA
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Gender | Female
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Dates
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Enumeration Date | 10/11/2025
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Last Update Date | 10/11/2025
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Provider Practice Location Address
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Address Line | N6359 US HIGHWAY 12
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City | ELKHORN
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State | WI
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Zip | 53121-3955
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Country | US
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Telephone | 262-578-5116
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Fax |
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Provider Business Mailing Address
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Address Line | 833 BROWNS LAKE DR APT 112
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City | BURLINGTON
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State | WI
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Zip | 53105-7233
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Country | US
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Telephone | 262-716-8815
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 2496-19
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License Number State | WI
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