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General NPI Number Information
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NPI Number | 1063687515
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Entity Type | Organization
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Legal Business Name | BAQJ CONSULTANTS, LLC
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Dates
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Enumeration Date | 04/25/2008
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Last Update Date | 05/09/2008
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Provider Practice Location Address
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Address Line | 20955 VIRGINIA ST SUITE B
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City | SOUTHFIELD
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State | MI
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Zip | 48076-2381
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Country | US
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Telephone | 248-227-8455
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Fax | 248-354-3816
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Provider Business Mailing Address
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Address Line | 20955 VIRGINIA ST SUITE B
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City | SOUTHFIELD
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State | MI
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Zip | 48076-2381
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Country | US
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Telephone | 248-227-8455
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Fax | 248-354-3816
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MS. BARBARA A. QUEEN JOHNSON
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Credential | LMSW
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Telephone | 248-227-8455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | L1095268
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | L1095268
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | L1095268
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License Number State | MI
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