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General NPI Number Information
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NPI Number | 1679925515
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Entity Type | Organization
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Legal Business Name | JOYTFORD ENTERPRISE LLC
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Dates
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Enumeration Date | 07/03/2016
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Last Update Date | 07/03/2016
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Provider Practice Location Address
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Address Line | 13354 SW 26TH ST
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City | MIRAMAR
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State | FL
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Zip | 33027-3872
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Country | US
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Telephone | 954-549-5574
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 278678
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City | MIRAMAR
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State | FL
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Zip | 33027-8678
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Country | US
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Telephone | 954-549-5574
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MS. JOY RUTHERFORD
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Credential | ARNP
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Telephone | 954-549-5574
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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 | ARNP 2499932
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License Number State | FL
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