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General NPI Number Information
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NPI Number | 1992134795
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Entity Type | Individual
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Provider Name | MRS. REBECCA JOSEPH JOY
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Gender | Female
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Dates
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Enumeration Date | 11/02/2013
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 801 7TH AVE
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City | FORT WORTH
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State | TX
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Zip | 76104-2733
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Country | US
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Telephone | 682-885-3142
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Fax |
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Provider Business Mailing Address
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Address Line | 7240 LAGUNA
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City | GRAND PRAIRIE
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State | TX
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Zip | 75054-0137
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Country | US
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Telephone | 516-581-3412
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 057199
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 15676
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 60104
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License Number State | TX
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