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General NPI Number Information
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NPI Number | 1952927196
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Entity Type | Organization
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Legal Business Name | JOY FAMILY MEDICINE & REGENERATIVE CARE INC.
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Dates
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Enumeration Date | 06/23/2020
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Last Update Date | 08/11/2023
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Provider Practice Location Address
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Address Line | 1041 IVES DAIRY RD STE 138
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City | MIAMI
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State | FL
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Zip | 33179-2539
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Country | US
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Telephone | 954-256-5155
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Fax | 954-289-2270
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Provider Business Mailing Address
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Address Line | 15054 SW 34TH ST
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City | DAVIE
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State | FL
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Zip | 33331-2719
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Country | US
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Telephone | 954-256-5155
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Fax | 954-289-2270
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Authorized Official
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Title or Position | OWNER
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Name | JOEY ANTHONY
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Credential | NP
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Telephone | 954-256-5155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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