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General NPI Number Information
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NPI Number | 1548273915
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Entity Type | Organization
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Legal Business Name | JOUETT RT ASSOCIATES, INC.
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 12/17/2010
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Provider Practice Location Address
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Address Line | 314 W MAIN ST
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City | LEWISVILLE
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State | TX
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Zip | 75057-3866
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Country | US
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Telephone | 972-315-1940
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Fax |
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Provider Business Mailing Address
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Address Line | 314 W MAIN ST
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City | LEWISVILLE
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State | TX
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Zip | 75057-3866
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Country | US
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Telephone | 972-315-1940
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MICHAEL L JOUETT
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Credential | RRT
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Telephone | 972-315-1940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 007292
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License Number State | TX
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