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General NPI Number Information
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NPI Number | 1245586858
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Entity Type | Organization
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Legal Business Name | ROY MORRELL D.C. PLLC
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Dates
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Enumeration Date | 08/01/2012
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Last Update Date | 08/01/2012
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Provider Practice Location Address
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Address Line | 3480 FANNIN ST SUITE C
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City | BEAUMONT
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State | TX
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Zip | 77701-3814
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Country | US
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Telephone | 409-832-7776
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Fax | 409-832-7405
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Provider Business Mailing Address
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Address Line | 3480 FANNIN ST SUITE C
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City | BEAUMONT
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State | TX
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Zip | 77701-3814
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Country | US
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Telephone | 409-832-7776
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Fax | 409-832-7405
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. ROY JOHN MORRELL
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Credential | D.C.
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Telephone | 409-832-7776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 7036
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License Number State | TX
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