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General NPI Number Information
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NPI Number | 1861705972
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Entity Type | Organization
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Legal Business Name | JOYCE P. HAIR, M.D. LTD.
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Dates
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Enumeration Date | 07/18/2010
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Last Update Date | 07/18/2010
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Provider Practice Location Address
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Address Line | 307 MAPLE AVE W SUITE C
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City | VIENNA
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State | VA
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Zip | 22180-4307
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Country | US
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Telephone | 703-698-7160
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Fax | 703-281-7313
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Provider Business Mailing Address
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Address Line | 307 MAPLE AVE W SUITE C
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City | VIENNA
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State | VA
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Zip | 22180-4307
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Country | US
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Telephone | 703-698-7160
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Fax | 703-281-7313
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOYCE P HAIR
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Credential | M.D.
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Telephone | 703-698-7160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State | VA
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