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General NPI Number Information
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NPI Number | 1952812935
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Entity Type | Organization
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Legal Business Name | JOYCE CARELOCK MINISTRIES
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Dates
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Enumeration Date | 10/18/2017
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Last Update Date | 12/18/2023
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Provider Practice Location Address
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Address Line | 7552 CONGRESS ST
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City | NEW PORT RICHEY
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State | FL
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Zip | 34653-1106
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Country | US
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Telephone | 727-517-1046
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Fax | 703-738-7281
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Provider Business Mailing Address
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Address Line | 9180 OAKHURST RD STE 6
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City | SEMINOLE
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State | FL
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Zip | 33776-2161
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Country | US
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Telephone | 727-517-1046
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Fax | 703-738-7281
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Authorized Official
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Title or Position | CEO
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Name | JOYCE L CARELOCK
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Credential |
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Telephone | 703-801-3287
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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