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General NPI Number Information
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NPI Number | 1851715098
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Entity Type | Organization
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Legal Business Name | JAMES M MOURS, LLC
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Dates
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Enumeration Date | 02/07/2014
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Last Update Date | 02/07/2014
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Provider Practice Location Address
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Address Line | 10121 SE SUNNYSIDE RD SUITE #300
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City | CLACKAMAS
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State | OR
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Zip | 97015-5745
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Country | US
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Telephone | 503-941-0245
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Fax | 503-972-1658
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Provider Business Mailing Address
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Address Line | 10121 SE SUNNYSIDE RD SUITE #300
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City | CLACKAMAS
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State | OR
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Zip | 97015-5745
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Country | US
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Telephone | 503-941-0245
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Fax | 503-972-1658
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES MARCEL MOURS
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Credential | PSYD
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Telephone | 503-806-2250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 1991
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License Number State | OR
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