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General NPI Number Information
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NPI Number | 1649473398
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Entity Type | Organization
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Legal Business Name | DEBORAH MAIORANO
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 08/13/2007
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Provider Practice Location Address
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Address Line | 93 CRIMSON CIR
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City | MARTINSBURG
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State | WV
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Zip | 25403-6397
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Country | US
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Telephone | 304-262-8288
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 331
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City | CROSS JUNCTION
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State | VA
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Zip | 22625-0331
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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 | LPC
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Name | DEBORAH MAIORANO
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Credential |
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Telephone | 304-262-8288
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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 | 1742
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License Number State | WV
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