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General NPI Number Information
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NPI Number | 1841296951
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Entity Type | Individual
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Provider Name | JOY ANTENELLE DEMARCAIDA M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/23/2005
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Last Update Date | 07/19/2022
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Provider Practice Location Address
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Address Line | 35 TALCOTTVILLE ROAD SUITE 6
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City | VERNON
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State | CT
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Zip | 06066
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Country | US
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Telephone | 860-870-6385
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Fax | 860-870-0625
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Provider Business Mailing Address
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Address Line | 35 TALCOTTVILLE ROAD SUITE 6
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City | VERNON
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State | CT
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Zip | 06066
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Country | US
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Telephone | 860-896-1422
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Fax | 860-896-1425
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 039584
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License Number State | CT
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