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General NPI Number Information
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NPI Number | 1811948201
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Entity Type | Organization
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Legal Business Name | JOYNER THERAPY SERVICES
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 11/14/2007
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Provider Practice Location Address
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Address Line | 217 S. ADAMS
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City | GOLCONDA
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State | IL
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Zip | 62629
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Country | US
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Telephone | 618-683-2728
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Fax | 618-683-2729
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Provider Business Mailing Address
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Address Line | 2907 WILLIAMSON COUNTY PKWY
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City | MARION
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State | IL
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Zip | 62959-5256
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Country | US
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Telephone | 618-998-9894
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Fax | 618-998-9993
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LANA R JOYNER
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Credential | COTA
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Telephone | 618-998-9894
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State | IL
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