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General NPI Number Information
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NPI Number | 1598141814
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Entity Type | Organization
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Legal Business Name | JOY HARRIS, LLC
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Dates
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Enumeration Date | 08/10/2015
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Last Update Date | 08/10/2015
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Provider Practice Location Address
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Address Line | 16938 KILGARTH DR
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City | RICHMOND
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State | TX
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Zip | 77407-2113
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Country | US
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Telephone | 281-455-2474
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Fax |
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Provider Business Mailing Address
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Address Line | 16938 KILGARTH DR
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City | RICHMOND
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State | TX
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Zip | 77407-2113
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Country | US
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Telephone | 281-455-2474
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Fax |
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Authorized Official
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Title or Position | OWNER/PROGRAM MANAGER
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Name | MS. CASSANDRA MOY
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Credential |
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Telephone | 281-455-2474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State |
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