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General NPI Number Information
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NPI Number | 1396065546
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Entity Type | Organization
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Legal Business Name | RELEVANCE COUNSELING SERVICES
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Dates
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Enumeration Date | 06/09/2010
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Last Update Date | 06/09/2010
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Provider Practice Location Address
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Address Line | 3635 W OKLAHOMA AVE
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City | MILWAUKEE
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State | WI
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Zip | 53215-4119
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Country | US
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Telephone | 414-384-6777
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Fax | 414-384-8001
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Provider Business Mailing Address
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Address Line | 3635 W OKLAHOMA AVE
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City | MILWAUKEE
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State | WI
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Zip | 53215-4119
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Country | US
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Telephone | 414-384-6777
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Fax | 414-384-8001
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. EDWIN MALDONADO
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Credential |
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Telephone | 414-384-6777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 4056125
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License Number State | WI
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