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General NPI Number Information
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NPI Number | 1891966958
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Entity Type | Individual
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Provider Name | JOY F. MACNICHOL ANP-C
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Gender | Female
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Dates
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Enumeration Date | 03/17/2008
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 303 N CLYDE MORRIS BLVD MEDICAL ONCOLOGY & HEMATOLOGY- 2ND FLOOR
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-2709
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Country | US
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Telephone | 386-425-4212
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Fax | 386-425-4214
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Provider Business Mailing Address
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Address Line | 303 N CLYDE MORRIS BLVD
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-2709
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Country | US
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Telephone | 386-226-4590
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Fax | 386-226-3371
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | NP 5005229
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | ARNP9472793
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License Number State | FL
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