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General NPI Number Information
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NPI Number | 1447580733
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Entity Type | Organization
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Legal Business Name | EJOYCE CONSULTATION AND CLINICAL SERVICES, PLLC
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Dates
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Enumeration Date | 01/08/2010
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Last Update Date | 11/29/2011
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Provider Practice Location Address
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Address Line | 200 W 3RD ST
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City | GREENVILLE
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State | NC
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Zip | 27858-1808
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Country | US
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Telephone | 252-258-5785
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Fax | 714-646-0649
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Provider Business Mailing Address
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Address Line | 307 WILLIAMSBURG DR
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City | GREENVILLE
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State | NC
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Zip | 27858-6329
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Country | US
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Telephone | 252-258-5785
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Fax | 714-646-0649
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Authorized Official
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Title or Position | OWNER, MANAGER
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Name | JOYCE MONNEY
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Credential | LCSW, MSW
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Telephone | 252-258-5785
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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 | C003676
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License Number State | NC
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