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NPI 1427080217

NPI 1427080217 : JOSEPH HARVEY MCCOY III PH.D. : EDINBURG, TX

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General NPI Number Information
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    NPI Number           |    1427080217
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    Entity Type          |    Individual 
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    Provider Name        |    JOSEPH HARVEY MCCOY III PH.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/06/2006
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    Last Update Date     |    10/09/2008
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Provider Practice Location Address
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    Address Line         |    5109 S MCCOLL RD 
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    City                 |    EDINBURG
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    State                |    TX
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    Zip                  |    78539-7885
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    Country              |    US
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    Telephone            |    956-682-0385
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    Fax                  |    956-682-0388
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Provider Business Mailing Address
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    Address Line         |    5109 S MCCOLL RD 
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    City                 |    EDINBURG
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    State                |    TX
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    Zip                  |    78539-7885
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    Country              |    US
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    Telephone            |    956-682-0385
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    Fax                  |    956-682-0388
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    30745
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    License Number State |    TX
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