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General NPI Number Information
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NPI Number | 1316571771
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Entity Type | Organization
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Legal Business Name | INFINITE JOY & RESTORATION COUNSELING PLLC
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Dates
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Enumeration Date | 02/25/2020
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Last Update Date | 02/25/2020
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Provider Practice Location Address
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Address Line | 24420 FM 1314 RD STE 18
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City | PORTER
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State | TX
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Zip | 77365-5490
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Country | US
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Telephone | 936-697-0982
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Fax |
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Provider Business Mailing Address
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Address Line | 19855 N PLANTATION ESTATES DR
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City | PORTER
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State | TX
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Zip | 77365-6959
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Country | US
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Telephone | 936-697-0982
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | ELIZABETH BELCON
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Credential |
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Telephone | 936-697-0982
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number |
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License Number State |
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