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General NPI Number Information
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NPI Number | 1255912176
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Entity Type | Organization
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Legal Business Name | MVG CONSULTING, LLC
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Dates
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Enumeration Date | 04/21/2021
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Last Update Date | 04/21/2021
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Provider Practice Location Address
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Address Line | 7940 NW 6TH ST APT 201
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-5188
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Country | US
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Telephone | 954-793-1125
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Fax |
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Provider Business Mailing Address
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Address Line | 7940 NW 6TH ST APT 201
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-5188
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RASHIDA GORDON
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Credential | LMHC
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Telephone | 954-793-1125
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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