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General NPI Number Information
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NPI Number | 1811242522
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Entity Type | Organization
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Legal Business Name | JONES COMPREHENSIVE ASSESSMENT CENTER PC
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Dates
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Enumeration Date | 07/18/2012
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Last Update Date | 11/26/2018
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Provider Practice Location Address
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Address Line | 5445 ALMEDA RD SUITE 407
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City | HOUSTON
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State | TX
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Zip | 77004-7434
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Country | US
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Telephone | 832-264-4454
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Fax | 866-343-1019
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Provider Business Mailing Address
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Address Line | 5445 ALMEDA RD SUITE 407
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City | HOUSTON
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State | TX
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Zip | 77004-7434
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Country | US
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Telephone | 832-264-4454
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Fax | 866-343-1019
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MELODY M MOORE
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Credential | PHD
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Telephone | 832-264-4454
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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 | 34928
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 34928
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License Number State | TX
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