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General NPI Number Information
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NPI Number | 1639419070
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Entity Type | Organization
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Legal Business Name | MOREJOYTHERAPY SERVICES,LLC
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Dates
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Enumeration Date | 02/21/2013
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Last Update Date | 02/21/2013
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Provider Practice Location Address
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Address Line | 501 N SPUR 63 SUITE B-3
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City | LONGVIEW
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State | TX
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Zip | 75601-5013
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Country | US
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Telephone | 903-690-1486
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Fax | 903-663-5580
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Provider Business Mailing Address
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Address Line | PO BOX 3581
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City | LONGVIEW
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State | TX
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Zip | 75606-3581
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Country | US
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Telephone | 903-331-6001
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Fax | 903-663-5580
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | JOY MORELAND
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Credential | COTA
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Telephone | 903-690-1486
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 210352
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License Number State | TX
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