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General NPI Number Information
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NPI Number | 1942022876
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Entity Type | Individual
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Provider Name | JOYCE THOKOZILE MZUMARA MBA
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Gender | Female
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Dates
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Enumeration Date | 10/30/2024
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 5511 E 82ND ST STE A
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-4515
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Country | US
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Telephone | 317-588-6588
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Fax | 317-288-8132
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Provider Business Mailing Address
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Address Line | PO BOX 502028
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-7028
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Country | US
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Telephone | 317-588-6588
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Fax | 317-288-8132
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 012950-1
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License Number State | IN
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