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General NPI Number Information
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NPI Number | 1710166251
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Entity Type | Organization
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Legal Business Name | ELLEN M JOYCE MD PLLC
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Dates
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Enumeration Date | 11/01/2007
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Last Update Date | 11/01/2007
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Provider Practice Location Address
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Address Line | 3500 GOOD SAMARITAN WAY
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City | LOUISVILLE
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State | KY
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Zip | 40299-6117
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Country | US
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Telephone | 502-267-7403
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Fax | 502-267-8978
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Provider Business Mailing Address
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Address Line | PO BOX 99176
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City | LOUISVILLE
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State | KY
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Zip | 40269-0176
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Country | US
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Telephone | 502-499-6189
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Fax | 502-499-0538
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Authorized Official
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Title or Position | PRESIDENT
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Name | ELLEN M JOYCE
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Credential | MD
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Telephone | 502-499-6189
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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