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General NPI Number Information
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NPI Number | 1154012037
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Entity Type | Organization
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Legal Business Name | E-MOTION WELLNESS LLC
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Dates
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Enumeration Date | 05/19/2023
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Last Update Date | 05/19/2023
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Provider Practice Location Address
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Address Line | 431 ISOM RD STE 204&206
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City | SAN ANTONIO
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State | TX
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Zip | 78216-5149
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Country | US
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Telephone | 210-600-4005
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Fax | 210-600-3211
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Provider Business Mailing Address
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Address Line | 431 ISOM RD STE 204&206
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City | SAN ANTONIO
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State | TX
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Zip | 78216-5149
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Country | US
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Telephone | 210-600-4005
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JASON TURNER
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Credential | LMSW
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Telephone | 210-245-0016
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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