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General NPI Number Information
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NPI Number | 1417030768
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Entity Type | Organization
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Legal Business Name | CJM & RSJ, INC.
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 06/11/2013
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Provider Practice Location Address
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Address Line | 2222 W SPRING CREEK PKWY STE. 116
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City | PLANO
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State | TX
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Zip | 75023-4183
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Country | US
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Telephone | 972-964-3214
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Fax | 972-964-3044
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Provider Business Mailing Address
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Address Line | 2222 W SPRING CREEK PKWY STE. 116
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City | PLANO
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State | TX
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Zip | 75023-4183
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Country | US
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Telephone | 972-964-3214
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Fax | 972-964-3044
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MR. MILES I MORRISON
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Credential | LCSW
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Telephone | 972-964-3214
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 009617
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License Number State | TX
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