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General NPI Number Information
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NPI Number | 1790958247
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Entity Type | Individual
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Provider Name | KATHLEEN MICHELLE JOY DO
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Gender | Female
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Dates
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Enumeration Date | 04/04/2008
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 360 WEST PARK DRIVE STE 201
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City | GRAND JUNCTION
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State | CO
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Zip | 81505
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Country | US
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Telephone | 970-609-7339
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Fax | 970-233-9829
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Provider Business Mailing Address
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Address Line | 360 WEST PARK DRIVE STE 201
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City | GRAND JUNCTION
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State | CO
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Zip | 81505
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Country | US
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Telephone | 970-609-7339
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Fax | 970-233-9829
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | DR.0049889
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | DR49889
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License Number State | CO
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