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General NPI Number Information
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NPI Number | 1861698045
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Entity Type | Individual
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Provider Name | JOY J FERGUSON RN
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Gender | Female
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 11/29/2022
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Provider Practice Location Address
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Address Line | 11727 GAY ST # 482
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City | ADELPHI
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State | OH
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Zip | 43101-2508
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Country | US
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Telephone | 740-412-4137
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 482
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City | ADELPHI
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State | OH
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Zip | 43101-0482
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Country | US
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Telephone | 740-412-4137
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 125475
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 433394
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License Number State | OH
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