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General NPI Number Information
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NPI Number | 1720652910
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Entity Type | Individual
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Provider Name | JOYCE P WORTHEY PTA
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Gender | Female
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Dates
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Enumeration Date | 05/13/2021
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Last Update Date | 05/13/2021
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Provider Practice Location Address
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Address Line | HAMPTON VA MEDICAL CENTER 100 EMANCIPATION DRIVE
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City | HAMPTON
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State | VA
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Zip | 23667-0001
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Country | US
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Telephone | 757-722-9961
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Fax |
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Provider Business Mailing Address
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Address Line | 4349 SMOKEY LAKE DR
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-4733
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Country | US
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Telephone | 757-254-5642
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 2306604614
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License Number State | VA
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