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General NPI Number Information
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NPI Number | 1770856353
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Entity Type | Organization
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Legal Business Name | TIMOTHY W JOYNER OD INC
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Dates
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Enumeration Date | 02/13/2012
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Last Update Date | 02/13/2012
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Provider Practice Location Address
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Address Line | 280 WOODWARD RD
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City | WESTMINSTER
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State | MD
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Zip | 21157-4677
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Country | US
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Telephone | 410-857-9685
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Fax | 410-857-1740
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Provider Business Mailing Address
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Address Line | 3101 ACTON RD
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City | BALTIMORE
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State | MD
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Zip | 21234-4712
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Country | US
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Telephone | 410-882-2718
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TIMOTHY WILLIAM JOYNER
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Credential | O.D
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Telephone | 410-882-2718
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 130001330
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0618002103
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TA2102
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License Number State | MD
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