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General NPI Number Information
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NPI Number | 1861643645
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Entity Type | Individual
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Provider Name | JOY HOVEY MADISON M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/09/2008
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Last Update Date | 07/08/2010
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Provider Practice Location Address
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Address Line | 6350 LAKE OCONEE PKWY STE 102 BOX 175
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City | GREENSBORO
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State | GA
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Zip | 30642-6433
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Country | US
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Telephone | 866-876-8859
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Fax | 404-591-4179
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Provider Business Mailing Address
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Address Line | 6350 LAKE OCONEE PKWY STE 102 BOX 175
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City | GREENSBORO
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State | GA
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Zip | 30642-6433
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Country | US
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Telephone | 866-876-8859
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Fax | 404-591-4179
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA08408800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036083313
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License Number State | IL
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