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General NPI Number Information
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NPI Number | 1790086833
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Entity Type | Organization
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Legal Business Name | JAMES A JOYNER III MD P A
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Dates
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Enumeration Date | 11/05/2010
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Last Update Date | 03/26/2012
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Provider Practice Location Address
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Address Line | 301 HEALTH PARK BLVD SUITE 221 ANDERSON GIBBS BUILDING
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City | ST AUGUSTINE
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State | FL
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Zip | 32086-5793
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Country | US
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Telephone | 904-829-5119
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Fax | 904-829-5399
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Provider Business Mailing Address
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Address Line | 301 HEALTH PARK BLVD SUITE 221 ANDERSON GIBBS BUILDING
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City | ST AUGUSTINE
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State | FL
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Zip | 32086-5793
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Country | US
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Telephone | 904-829-5119
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Fax | 904-829-5399
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Authorized Official
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Title or Position | OWNER
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Name | JAMES A JOYNER III
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Credential | M.D. P A
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Telephone | 904-829-5119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | ME34634
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License Number State | FL
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