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General NPI Number Information
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NPI Number | 1841658994
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Entity Type | Organization
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Legal Business Name | JOYFUL JOURNEY INC
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Dates
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Enumeration Date | 02/04/2016
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Last Update Date | 02/04/2016
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Provider Practice Location Address
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Address Line | 600 LINDBERG RD
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City | WEST LAFAYETTE
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State | IN
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Zip | 47906-2006
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Country | US
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Telephone | 765-607-6156
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Fax | 765-807-0293
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Provider Business Mailing Address
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Address Line | 600 LINDBERG RD
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City | WEST LAFAYETTE
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State | IN
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Zip | 47906-2006
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Country | US
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Telephone | 765-607-6156
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Fax | 765-807-0293
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Authorized Official
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Title or Position | TREASURER / BOARD CHAIR
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Name | MR. GERARD P BENNER
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Credential |
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Telephone | 765-463-3890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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