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General NPI Number Information
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NPI Number | 1427448794
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Entity Type | Organization
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Legal Business Name | JUSTICEWORKS TX, LLC
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Dates
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Enumeration Date | 01/26/2015
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Last Update Date | 12/09/2015
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Provider Practice Location Address
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Address Line | 403 S WW WHITE RD SUITE 222B
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City | SAN ANTONIO
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State | TX
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Zip | 78219-4232
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Country | US
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Telephone | 210-906-0489
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 ARDMORE BLVD SUITE 410
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City | PITTSBURGH
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State | PA
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Zip | 15221-4468
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Country | US
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Telephone | 412-342-1068
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DANIEL S HEIT
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Credential |
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Telephone | 412-342-1068
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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 |
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License Number State |
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