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General NPI Number Information
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NPI Number | 1841985934
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Entity Type | Individual
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Provider Name | STEVEN DERICK TODD JOYCE FNP
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Gender | Male
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Dates
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Enumeration Date | 04/06/2023
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Last Update Date | 04/06/2023
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Provider Practice Location Address
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Address Line | 2686 W STATE ST
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City | BRISTOL
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State | TN
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Zip | 37620-1817
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Country | US
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Telephone | 423-844-0026
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Fax |
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Provider Business Mailing Address
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Address Line | 19814 SPUR STRAP RD
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City | BRISTOL
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State | VA
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Zip | 24202-5517
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Country | US
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Telephone | 276-213-0654
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024186828
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 36683
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License Number State | TN
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