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General NPI Number Information
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NPI Number | 1093992471
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Entity Type | Organization
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Legal Business Name | PJ ASSOCIATES, INC.
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Dates
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Enumeration Date | 01/28/2008
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Last Update Date | 01/28/2008
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Provider Practice Location Address
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Address Line | 1495 TRAVIS RD
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City | BELLVILLE
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State | TX
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Zip | 77418-6001
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Country | US
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Telephone | 979-865-8608
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Fax | 979-865-8608
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Provider Business Mailing Address
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Address Line | 1495 TRAVIS RD
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City | BELLVILLE
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State | TX
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Zip | 77418-6001
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Country | US
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Telephone | 979-865-8608
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Fax | 979-865-8608
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | PAMELA H. JONES
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Credential | LCSW
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Telephone | 979-865-8608
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 00456
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License Number State | TX
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