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General NPI Number Information
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NPI Number | 1881817658
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Entity Type | Organization
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Legal Business Name | EOM CORPORATION
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4410 N MIDKIFF RD SUITE D-211B
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City | MIDLAND
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State | TX
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Zip | 79705-4246
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Country | US
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Telephone | 432-520-0737
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Fax | 432-699-2392
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Provider Business Mailing Address
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Address Line | PO BOX 51638
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City | MIDLAND
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State | TX
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Zip | 79710-1638
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Country | US
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Telephone | 432-520-0737
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Fax | 432-685-0737
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Authorized Official
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Title or Position | LMFT, LCDC
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Name | DR. JAMES L. MAY
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Credential | PH.D.
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Telephone | 432-520-0737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 193
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License Number State | TX
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