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General NPI Number Information
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NPI Number | 1285826578
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Entity Type | Organization
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Legal Business Name | SPJ CONSULTANTS, INC
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Dates
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Enumeration Date | 08/10/2007
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Last Update Date | 08/10/2007
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Provider Practice Location Address
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Address Line | 2661 RIVA RD SUITE - 611
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City | ANNAPOLIS
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State | MD
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Zip | 21401-7353
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Country | US
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Telephone | 410-571-6226
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Fax | 410-571-7756
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Provider Business Mailing Address
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Address Line | 2661 RIVA RD SUITE - 611
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City | ANNAPOLIS
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State | MD
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Zip | 21401-7353
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Country | US
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Telephone | 410-571-6226
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Fax | 410-571-7756
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RONALD STUART GROSSMAN
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Credential | M.ED., M.A.
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Telephone | 410-571-6226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | SC0379
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LCA256
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 10954
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LC1233
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License Number State | MD
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | BJ8336845
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License Number State | MD
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Taxonomy #6
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | DO050605
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License Number State | MD
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Taxonomy #7
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | AC0787
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License Number State | MD
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